Individual provider Active NPI

Chloe Mae Bainbridge, OD

  • Optometrist
  • Platteville, WI
National Provider Identifier
1003597816
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
394335 Issued in WI
Practice address
1450 Eastside Rd
Platteville, WI 53818-9800
Phone
(608) 348-2331
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 394335 WI Primary

Addresses

Primary practice location

1450 Eastside Rd
Platteville, WI 53818-9800

Mailing address

450 Arbor Oaks LN
Lancaster, WI 53813-2168
Phone (608) 279-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230915000519 WI Practitioner - Optometry 3274997879 Reassigns benefits to 2 organizations
I20260529002092 ID Practitioner - Optometry 3274997879

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center Inc 110 clinicians

Practice addresses (Care Compare)

133 Performance Dr
Darlington, WI 53530-9393
Phone (608) 776-4413

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
394335WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. Optometrist CurrentSince Aug 2, 2023 Accepting new patients
Southwest Health Center, Inc. CurrentSince Aug 2, 2023 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: cbainbridge481840@direct-ehr-ssmhc.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1003597816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ARBOR OAKS LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132168",
            "telephone_number": "608-279-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINBRIDGE",
        "first_name": "CHLOE",
        "middle_name": "MAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "394335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.