Individual
MRS. PAYTON MARIE HOLDEN BISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7511 HARWOOD AVE, WAOWATOSA, WI 53213-2606
(414) 453-1300
(414) 453-1330
Mailing address
3325 ANDERS LANE, BROOKFIELD, WI 53005-2804
(810) 969-2280
(414) 453-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046011619
IL
152W00000X
Optometrist
Primary
3869-35
WI
Other
Enumeration date
04/25/2022
Last updated
10/15/2025
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