Active NPI
Paul Benjamin Webb, OD
- Optometrist
- Baraboo, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3058-035
- Practice address
- 920 State Road 136
Vision Center
Baraboo, WI 53913-9254 - Phone
- (608) 356-6276
- Fax
- (866) 318-0547
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 6, 2022
- Sex
- Male
- 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 | 3058-035 | WI | Primary |
Addresses
Primary practice location
920 State Road 136
Vision Center
Baraboo, WI 53913-9254
Mailing address
920 State Rd 136
Vision Center
Baraboo, WI 53913-4160
Phone (312) 841-7720
Other practice location 1
130 Commerce St
Wisconsin Dells, WI 53965-8263
Phone (608) 253-4593
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3058 | WI | MD | Dentist |
| 3058-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul B Webb LLC | Optometrist | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
920 State Road 136
Baraboo, WI 53913
Phone (608) 356-1765
130 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 253-4593
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Baraboo, WI
- NPI 1447312236
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1801987599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 STATE RD 136",
"address_2": "VISION CENTER",
"city": "BARABOO",
"state": "WI",
"postal_code": "539134160",
"telephone_number": "312-841-7720",
"fax_number": "608-356-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STATE ROAD 136",
"address_2": "VISION CENTER",
"city": "BARABOO",
"state": "WI",
"postal_code": "539139254",
"telephone_number": "608-356-6276",
"fax_number": "866-318-0547"
}
],
"practiceLocations": [
{
"address_1": "130 Commerce St",
"address_purpose": "LOCATION",
"city": "Wisconsin Dells",
"state": "WI",
"postal_code": "539658263",
"country_code": "US",
"telephone_number": "608-253-4593",
"fax_number": "866-318-0547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBB",
"first_name": "PAUL",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3058-035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.