Kerri Bakker, O.D. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KERRI BAKKER, O.D. LLC

Practice address

13 Kedron Ave
Morton, PA 19070-1513

Phone

(484) 478-8000

Fax

(484) 478-8050

NPI assigned

Aug 22, 2017

Last updated

Aug 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerri Bakker, O.D.NPI 1134196777

Title

Optometrist

Phone

(908) 319-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerri Elizabeth Bakker, OD

  • Optometrist
  • Morton, PA
  • NPI 1134196777
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1023534906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HOFFMAN CIR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351553",
            "telephone_number": "908-319-7500",
            "fax_number": "484-478-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 KEDRON AVE",
            "city": "MORTON",
            "state": "PA",
            "postal_code": "190701513",
            "telephone_number": "484-478-8000",
            "fax_number": "484-478-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRI BAKKER, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKKER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "908-319-7500",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Kyle Hwang, DMD
• Azad Iskender, DDS
• Breona Jackson
• Timothy F Jenkins, M.D.
• Seema NMN John
• Kimberly Kozlowski
• Kevin Krick, DMD
• Michael Lewis, DMD
• Allison Lloyd
• Regina Veronica Luberti, CRNP FNP-BC

• Optometrist in Morton, PA
• Providers in Morton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.