ANDREW J BALDUS (NPI# 1316924590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316924590 |
| Entity Type | Individual |
| Full Name | ANDREW J BALDUS |
| Credential | O.D. |
| Practice Address |
120 Dehne Dr Colby WI 54421-9589 |
| Practice Telephone | 7152234003 |
| Practice Fax Number | 7152234417 |
| Mailing Telephone | 7152234003 |
| Mailing Fax Number | 7152234417 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2616 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NVA-MEDFORD | 10445 | 01 |
| WI | SECURITY HEALTH PLAN-MEDF | 74813 | 01 |
| WI | DMERC-MEDFORD GROUP | 0474980001 | 01 |
| WI | LICENSE | 2616 | 01 |
| WI | 38715100 | 05 | |
| WI | RAILROAD MEDICARE-MEDFORD | 410046659 | 01 |
| WI | FEDERAL TAX ID-COLBY | 39-1967186 | 01 |
| WI | 38596900 | 05 | |
| WI | DMERC-COLBY GROUP | 1271670001 | 01 |
| WI | 38715300 | 05 | |
| WI | BLUE CROSS BLUE SHIELD-ME | 391229699015 | 01 |
| WI | RAILROAD MEDICARE-COLBY | 410046660 | 01 |
| WI | SECURITY HEALTH PLAN-COLB | 74812 | 01 |
| WI | DEA NUMBER | MB0253031 | 01 |
| WI | FEDERAL TAX ID-MEDFORD | 39-1229699 | 01 |
| WI | BLUE CROSS BLUE SHIELD-CO | 391967186019 | 01 |
| Street Address |
120 DEHNE DR |
| City | COLBY |
| State | WI |
| Zip Code | 54421-9589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861601247 | Mayro R. Kubista | Physical Therapist | 120 Dehne Dr, Colby, WI 54421-9589 | 2007-05-22 |
| 1184794489 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 120 Dehne Dr, Colby, WI 54421-9589 | 2006-11-08 |
| 1588634208 | Healthview Eye Care Center, Sc | Optometrist | 120 Dehne Dr, Colby, WI 54421-9589 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891838488 | Philip John Carlson | Chiropractor | 205 W Spence Street, Colby, WI 54421 | 2007-02-14 |
| 1730265661 | Sport & Spine Clinic Lp | Clinic/Center | 604b North Division Street, Colby, WI 54421 | 2006-10-31 |
| 1487764635 | George Krieg | Physician Assistant | 111 Dehne Drive, Colby, WI 54421 | 2006-08-30 |
| 1386750826 | Nicole Wittlinger Quarne | Physical Therapist | 120 Dehne Road, Colby, WI 54421 | 2006-08-21 |
| 1063462828 | Chad A Bogdonovich | Physical Therapist | 604b North Division St, Colby, WI 54421 | 2006-05-11 |
| 1104936251 | Tanya Kausch Hoerneman | Family Medicine | 111 Dehne Drive, Colby, WI 54421 | 2006-08-30 |
| 1841300092 | Paul L Writz | Family Medicine | 111 Dehne Drive, Colby, WI 54421 | 2006-08-30 |
| 1619083151 | Heather Vogel | Physical Therapist | 120 Dehne Road, Colby, WI 54421 | 2006-08-21 |
| 1205203197 | Carlson Chiropractic Clinic LLC | Chiropractor | 111 S. First Street, Colby, WI 54421-0026 | 2015-08-26 |
| 1447326392 | Norval Owen Jackson | Dentist | 607 N 2nd St, Colby, WI 54421-0050 | 2006-11-24 |
| Find all providers in zip 54421 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467568519 | Sam R. Funk, O.d., P.a. | Optometrist | 505 N Franklin Ave Ste B, Colby, KS 67701-2342 | 2006-08-22 |
| 1760457881 | Jeffrey B Morrison | Optometrist | 1005 S Range Ave, Ste 100, Colby, KS 67701-3537 | 2006-02-22 |
| 1982037396 | Sam Rodger Funk | Optometrist | 505 N Franklin Ave Ste B, Colby, KS 67701-2342 | 2013-08-21 |
| 1457616427 | Andrea Lynn Hagler | Optometrist | 1005 S Range Ave, Ste 100, Colby, KS 67701 | 2012-07-05 |
| 1033497557 | Jordan D Hagler | Optometrist | 1005 S Range Ave, Ste 100, Colby, KS 67701-3537 | 2011-08-01 |
| 1265629729 | Larry L Washburn | Optometrist | 505 N Franklin Ave, Ste B, Colby, KS 67701-2356 | 2007-09-28 |
| 1609843390 | Morrison Optometric Associates Pa | Optometrist | 1005 S Range Ave, Suite 100, Colby, KS 67701-3537 | 2006-03-02 |
| 1588634208 | Healthview Eye Care Center, Sc | Optometrist | 120 Dehne Dr, Colby, WI 54421-9589 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.