Active NPI
Jessica Bisgrove Mahn, O.D.
- Optometrist
- Oak Creek, WI
National Provider Identifier
1114213261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3232-035
- Practice address
- 7001 S Howell Ave
Oak Creek, WI 53154-1407 - Phone
- (414) 571-9800
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3232-035 | WI | Primary |
Addresses
Primary practice location
7001 S Howell Ave
Oak Creek, WI 53154-1407
Mailing address
3390 E Woodview Ave
Oak Creek, WI 53154-4754
Phone (262) 914-4424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110719000490 | WI | Practitioner - Optometry | 3476721416 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3232-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mueller Eye Care LLC | Optometrist | Current | Accepting new patients |
| Herslof'S, Inc | Current | Accepting new patients | |
| Stein Optical Inc. | Optometrist | Past | Accepting new patients |
Locations
12000 W Carmen Ave
Milwaukee, WI 53225
Phone (414) 462-1300
8907 S Howell Ave
Ste 600
Oak Creek, WI 53154
Phone (414) 764-2651
Organizations & group practices 4
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.
-
- Optometrist
- Oak Creek, WI
- NPI 1275265878
-
- Optometrist
- Milwaukee, WI
- NPI 1801829551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1114213261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 E WOODVIEW AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544754",
"telephone_number": "262-914-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531541407",
"telephone_number": "414-571-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISGROVE MAHN",
"first_name": "JESSICA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3232-035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.