Active NPI
Jason Franklin Baldwin, O.D.
- Optometrist
- Ladson, SC
National Provider Identifier
1912928516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1510
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201066910 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110321000578 | MI | Practitioner - Ophthalmology | 9436332905 | Reassigns benefits to 1 organization |
| I20161116001976 | SC | Practitioner - Optometry | 9436332905 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.25 of 100
- Quality
- 90.45
- Improvement activities
- 40
- Cost
- 66.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1510 | SC | MD | Dentist |
| 18003718 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferris State University | Optometrist | Current | Accepting new patients |
| Gainesville Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Ferris State University | Current | Accepting new patients | |
| Center for Advanced Surgery LLC | Past | 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
- 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.
-
- Ophthalmology Physician
- Big Rapids, MI
- NPI 1477574101
-
- Ambulatory Surgical Clinic/Center
- Ladson, SC
- NPI 1518338052
-
- Optometrist
- Greensburg, IN
- NPI 1013480482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.