Active NPI
Nichole Lauren Banfield, O.D.
- Optometrist
- Milwaukee, WI
National Provider Identifier
1609560432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002730
- Practice address
- 4101 N 56TH St
Milwaukee, WI 53216-1267 - Phone
- (414) 447-9403
- NPI assigned
- Jun 5, 2023
- 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 | OPT-002730 | AZ | Primary |
Addresses
Primary practice location
4101 N 56TH St
Milwaukee, WI 53216-1267
Mailing address
2008 N 50TH Dr
Phoenix, AZ 85035-3925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002730 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Past | Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Milwaukee, WI
- NPI 1649202201
-
- Optometrist
- Phoenix, AZ
- NPI 1407525496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1609560432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 N 50TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850353925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N 56TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161267",
"telephone_number": "414-447-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANFIELD",
"first_name": "NICHOLE",
"middle_name": "LAUREN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.