Provider Demographics
NPI:1841397205
Name:BISCOE, BYRON W (MD)
Entity type:Individual
Prefix:DR
First Name:BYRON
Middle Name:W
Last Name:BISCOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C6M MAHOGANY RUN
Mailing Address - Street 2:
Mailing Address - City:ST.THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-774-3003
Mailing Address - Fax:
Practice Address - Street 1:8000 NISKY SHOPPING CTR STE 19-B
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-5809
Practice Address - Country:US
Practice Address - Phone:340-774-3003
Practice Address - Fax:866-896-5634
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1215207W00000X
VI1005207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIE35754Medicare UPIN