Active NPI
John J Baab Sr., OPTICIAN
- Optician
- Mountain Top, PA
National Provider Identifier
1013062132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 09951
- Practice address
- 165 N Mountain Blvd
Mountain Top, PA 18707-1127 - Phone
- (570) 474-9082
- Fax
- (570) 474-9760
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 09951 | Primary |
Addresses
Primary practice location
165 N Mountain Blvd
Mountain Top, PA 18707-1127
Mailing address
165 N Mountain Blvd
Mountain Top, PA 18707-1127
Phone (570) 474-9082
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200505 | Other | BELBS | |
| 393134 | Other | NVA | |
| 112112 | Other | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baab Opticians Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Mountain Top, PA
- NPI 1366610891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013062132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N MOUNTAIN BLVD",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071127",
"telephone_number": "570-474-9082",
"fax_number": "570-474-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N MOUNTAIN BLVD",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071127",
"telephone_number": "570-474-9082",
"fax_number": "570-474-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAAB",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": "09951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BELBS",
"identifier": "200505",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "393134",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "112112",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.