Jessica Bisgrove Mahn · Optometrist

7001 S Howell Ave, Oak Creek, WI 53154-1407

Overview

Jessica Bisgrove Mahn is a Optometrist practicing in Oak Creek, Wisconsin. The National Provider Identifier (NPI) is #1114213261, which was assigned on June 27, 2011, and the registration record was last updated on September 24, 2025. The practitioner's main practice location is at 7001 S Howell Ave, Oak Creek, WI 53154-1407; the contact telephone number is 4145719800. The primary taxonomy of Jessica Bisgrove Mahn is Optometrist (152W00000X). Jessica Bisgrove Mahn is licensed to practice in the state of Wisconsin (#3232-035).

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.

Provider Information

NPI 1114213261
Entity Type Individual
Provider Name JESSICA BISGROVE MAHN
Gender Female
Credential O.D.
Practice Address 7001 S Howell Ave
Oak Creek
WI 53154-1407
Practice Telephone 4145719800
Mailing Address 3390 E Woodview Ave
Oak Creek
WI 53154-4754
Mailing Telephone 2629144424
Certification Date 2025-09-24
Enumeration Date 2011-06-27
Last Update Date 2025-09-24
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 3476721416
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name JESSICA M BISGROVE
Medical School SOUTHERN COLLEGE OF OPTOMETRY
Primary Specialty OPTOMETRY
Address 3719 80th St
Kenosha
WI 53142-4950

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y152W00000XOptometrist3232-035WI

Taxonomy Information

Primary Taxonomy

Code 152W00000X
Taxonomy Optometrist
Classification Optometrist
Grouping Eye and Vision Services Providers
Definition: 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]

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Location Information

Street Address 7001 S HOWELL AVE
City OAK CREEK
State WI
Zip Code 53154-1407
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Dania Saleem 6826 S Highfield Dr, Oak Creek, WI 53154-1669Student in an Organized Health Care Education/Training Program2025-07-12
Seva Home Care Inc 934 E Rawson Ave, Oak Creek, WI 53154Adult Companion2025-03-05
Jessica Ramdohr 7280 S 13th St # 202, Oak Creek, WI 53154-1831Professional Counselor2025-06-24
Zachary James Valavanis 7901 S 6th St, Oak Creek, WI 53154-2010Physical Therapist2023-04-27
Mariah Abdel-Fattah 7280 S 13th St Ste 202, Oak Creek, WI 53154-1831Mental Health Counselor2025-06-13
Claire Schwarz 140 E Rawson Ave Ste 317, Oak Creek, WI 53154-1525Occupational Therapist2025-08-04
Jessica Velazquez 7280 S 13th St Ste 202, Oak Creek, WI 53154-1831Mental Health Counselor2025-06-12
Mark David Warner 7270 S 13th St, Oak Creek, WI 53154-1800General Practice Dentistry2006-08-11
Samantha Bates 140 E Rawson Ave Ste 317, Oak Creek, WI 53154-1525Physical Therapist2024-10-29
Froedtert Health Neighborhood Hospital, LLC 7901 S 6th St, Oak Creek, WI 53154-2010General Acute Care Hospital2021-05-26
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.