Jeff Banas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3424 Issued in WI

Practice address

3805B Spring St Ste 140
Mount Pleasant, WI 53405-1642

Phone

(262) 637-0500

Fax

(262) 635-8027

NPI assigned

Jun 30, 2016

Last updated

Jan 9, 2024By 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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Racine and Kenosha LTDGroup PAC ID 8921069048, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

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.

• Eye Centers of Racine and Kenosha LTD

  • Ophthalmology Physician
  • Mount Pleasant, WI
  • NPI 1710905781

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Centers of Racine and Kenosha LTD

  • Ophthalmology Physician
  • Mount Pleasant, WI
  • NPI 1558232926
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Madison, WI
  • NPI 1447398649
  NPD (past)
• Wisconsin Vision, LLC

  • Optometrist
  • Kenosha, WI
  • NPI 1477691673
  NPD (past)
• Wisconsin Vision, LLC

  • Optometrist
  • Appleton, WI
  • NPI 1770621971
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1619328606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 140",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051642",
            "telephone_number": "262-637-0500",
            "fax_number": "262-635-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 140",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051642",
            "telephone_number": "262-637-0500",
            "fax_number": "262-635-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9916 75th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427583",
            "country_code": "US",
            "telephone_number": "262-637-0500",
            "fax_number": "262-635-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANAS",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-01-09",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074192",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Badger Care LLC
• William Paul Bake, D.O.
• Kaylee Nicole Balchitis
• Alicia S Balistreri
• Mary L Ballard, DDS
• Martine Dorene Barber
• Jennifer L Barbian, OTR
• Maria Barnes, DDS
• Allicia Barney
• Faraz Bashir, DMD

• Optometrist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.