Organization Active NPI

Leonard and Shelby Baker PTR

  • Optometrist
  • Burlington, NJ
National Provider Identifier
1013051333
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00375000 Issued in NJ
Legal business name
LEONARD AND SHELBY BAKER PTR
Practice address
17 W Broad St
Burlington, NJ 08016-4413
Phone
(609) 386-0352
Fax
(609) 386-3702
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Dr. Shelby Alan Baker, O.D.
Title
Partner
Phone
(609) 386-0352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00375000 NJ Primary

Addresses

Primary practice location

17 W Broad St
Burlington, NJ 08016-4413

Mailing address

17 W Broad St
Burlington, NJ 08016-4413
Phone (609) 386-0352

National Provider Directory

National Provider Directory

Locations

17 W Broad St
Burlington, NJ 08016
Phone (609) 386-0352

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1013051333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164413",
            "telephone_number": "609-386-0352",
            "fax_number": "609-386-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164413",
            "telephone_number": "609-386-0352",
            "fax_number": "609-386-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD AND SHELBY BAKER PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-386-0352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00375000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.