Individual provider Active NPI

Paul Benjamin Webb, OD

  • Optometrist
  • Baraboo, WI
National Provider Identifier
1801987599
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3058-035 Issued in WI
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3058WIMDDentist
3058-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.