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ANDREW J BALDUS O.D. NPI 1316924590


NPI Information

NPI: 1316924590
Provider Name: ANDREW J BALDUS, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1700 W PARADISE DR
WEST BEND, WI
ZIP 53095
Phone: (414) 454-7734
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Andrew J Baldus, O.D. is an optometrist in West Bend, WI with 29 years of experience. The provider is 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. Andrew J Baldus, O.D. NPI is 1316924590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduation Year:1995

The provider's business location address is:

1700 W PARADISE DR
WEST BEND, WI
ZIP 53095-795
Phone: (414) 454-7734

The NPI 1316924590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 12/28/2005 and was last updated on 10/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist2616WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110445OTHERWISCONSINNVA-MEDFORD
239-1967186OTHERWISCONSINFEDERAL TAX ID-COLBY
3410046660OTHERWISCONSINRAILROAD MEDICARE-COLBY
439-1229699OTHERWISCONSINFEDERAL TAX ID-MEDFORD
5391967186019OTHERWISCONSINBLUE CROSS BLUE SHIELD-CO
6410046659OTHERWISCONSINRAILROAD MEDICARE-MEDFORD
71271670001OTHERWISCONSINDMERC-COLBY GROUP
82616OTHERWISCONSINLICENSE
938596900MEDICAIDWISCONSIN
10391229699015OTHERWISCONSINBLUE CROSS BLUE SHIELD-ME
110474980001OTHERWISCONSINDMERC-MEDFORD GROUP
1238715100MEDICAIDWISCONSIN
1338715300MEDICAIDWISCONSIN
1474812OTHERWISCONSINSECURITY HEALTH PLAN-COLB
1574813OTHERWISCONSINSECURITY HEALTH PLAN-MEDF

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.