Advanced Focus Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

325735 Issued in WI

Legal business name

ADVANCED FOCUS EYECARE LLC

Practice address

1116 N Main St
West Bend, WI 53090-1923

Phone

(262) 366-6370

NPI assigned

Aug 5, 2015

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Bardenwerper, O.D.NPI 1801150552

Title

Owner/Sole Member

Phone

(262) 366-6370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Bardenwerper, O.D.

  • Optometrist
  • West Bend, WI
  • NPI 1801150552
  Medicare reassignment Care Compare group NPD Authorized official
• Kristen K Dorman, O.D.

  • Optometrist
  • Fredonia, WI
  • NPI 1609833110
  Medicare reassignment Care Compare group NPD
• Paul Kappell, O.D.

  • Optometrist
  • Slinger, WI
  • NPI 1376783621
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1508242256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901923",
            "telephone_number": "262-366-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901923",
            "telephone_number": "262-366-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOCUS EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BARDENWERPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "262-366-6370",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "325735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in West Bend, WI
• Providers in West Bend, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.