Active NPI
Leonard and Shelby Baker PTR
- Optometrist
- Burlington, NJ
National Provider Identifier
1013051333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00375000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.