Maximillian Joseph Soldenwagner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3848-35 Issued in WI

Practice address

2510 S Green Bay Rd
Racine, WI 53406-4926

Phone

(262) 504-2340

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• National Vision Inc

  dba America's Best Contacts & Eyeglasses

  • Optometrist
  • Racine, WI
  • NPI 1548854474
  NPD

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1124739222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 3RD AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S GREEN BAY RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064926",
            "telephone_number": "262-504-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDENWAGNER",
        "first_name": "MAXIMILLIAN",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3848-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Snyderman, MD
• Ion Sochirca
• Society's Assets,Inc.
• Society's Assets,Inc.
• Nathan D Sockrider, D.P.M.
• Andrew Ira Solomon, DC
• Southeast Anesthesiology (Seac, SC)
• Southeast Wisconsin Hearing, LLC (Beltone of Racine & Kenosha)
• Southeast Wisconsin Surgery Center LLC
• Southwest Dental Group, S.C.

• Optometrist in Racine, WI
• Providers in Racine, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.