Organization Active NPI

MVP Vision Group, S.C.

  • Optometrist
  • Minocqua, WI
National Provider Identifier
1912801945
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MVP VISION GROUP, S.C.
Practice address
9815 Hwy 70 Ste 102
Minocqua, WI 54548-9769
Phone
(715) 358-3937
Fax
(715) 358-7677
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Dr. Paul H Bastermajian, OD
Title
President
Phone
(630) 335-3043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

9815 Hwy 70 Ste 102
Minocqua, WI 54548-9769

Mailing address

16800 W Cleveland Ave
New Berlin, WI 53151-3533
Phone (630) 335-3043

Other practice location 1

523 E Wall St
Eagle River, WI 54521
Phone (715) 479-6489

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1912801945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "630-335-3043",
            "fax_number": "630-225-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 HWY 70 STE 102",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489769",
            "telephone_number": "715-358-3937",
            "fax_number": "715-358-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 E Wall St",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "WI",
            "postal_code": "54521",
            "country_code": "US",
            "telephone_number": "715-479-6489",
            "fax_number": "715-476-6489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MVP VISION GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "BASTERMAJIAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-335-3043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.