Badger Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2283 Issued in WI

Legal business name

BADGER VISION CENTER, LLC

Practice address

2505 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226-1404

Phone

(414) 453-7020

Fax

(414) 453-9980

NPI assigned

Dec 9, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel D Baisden, ODNPI 1992867220

Title

Disregarded Entity

Phone

(414) 453-7020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel D. Baisden, OD

  • Optometrist
  • Wauwatosa, WI
  • NPI 1992867220
  Authorized official Same address or phone

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972871572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N MAYFAIR RD",
            "address_2": "STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261404",
            "telephone_number": "414-453-7020",
            "fax_number": "414-453-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N MAYFAIR RD",
            "address_2": "STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261404",
            "telephone_number": "414-453-7020",
            "fax_number": "414-453-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BAISDEN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DISREGARDED ENTITY",
        "authorized_official_telephone_number": "414-453-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4687710001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autism Intervention Milwaukee
• Autism Society of Southeastern Wisconsin
• Samantha Azmani
• Matthew James Babcock, DDS
• Funlola Oladepe Bada, MD
• Andrew R Bagley, MSW, LCSW
• Meghan P Bahr, LCSW
• Barbara A. Bahrke, PA-C
• Joel D. Baisden, OD
• Joshua Mark Baker, PA

• Optometrist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.