Whalio Doctors

NPI 1407801152

Trevor J Baldwin, OD

Practitioner Optometrist Sun Prairie, WI

Practice location

Address
1721 W Main St, Sun Prairie, WI 53590-3161
Phone
(608) 837-7325
Fax
(608) 837-7326

Registered specialties (4)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1926-035 (WI)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 1926-035 (WI)
Optometric Assistant Technician
Eye and Vision Services Providers Taxonomy 156FX1201X
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1407801152
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2006
Record last updated
8 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.