Individual provider Active NPI

Jason Franklin Baldwin, O.D.

  • Optometrist
  • Ladson, SC
National Provider Identifier
1912928516
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1510 Issued in SC
Practice address
137 Gateway Dr
Ladson, SC 29456-3552
Phone
(843) 797-3676
Fax
(843) 797-3677
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004373 MI
Optometrist 152W00000X 1510 SC Primary
Optometrist 152W00000X 18003718 IN

Addresses

Primary practice location

137 Gateway Dr
Ladson, SC 29456-3552

Mailing address

4850 Encore Blvd
Mt Pleasant, MI 48858-6013
Phone (989) 772-1704

Other identifiers 1

IdentifierTypeStateIssuer
201066910MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110321000578 MI Practitioner - OphthalmologyPractitioner - Optometry 9436332905 Reassigns benefits to 1 organization
I20161116001976 SC Practitioner - Optometry 9436332905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
90.45
Improvement activities
40
Cost
66.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1510SCMDDentist
18003718INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ferris State University Optometrist CurrentSince Nov 21, 2024 Accepting new patients
Gainesville Eye Associates LLC Optometrist Current Accepting new patients
Ferris State University CurrentSince Nov 21, 2024 Accepting new patients
Center for Advanced Surgery LLC PastSince Oct 11, 2016 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

Interoperability endpoints

  • Direct secure messaging: jbaldwin@esp.intellechartdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1912928516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 ENCORE BLVD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586013",
            "telephone_number": "989-772-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 GATEWAY DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294563552",
            "telephone_number": "843-797-3676",
            "fax_number": "843-797-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JASON",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004373",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1510",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201066910",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.