Individual provider Active NPI

Zoe Baker, OD

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1053191908
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-2023-0011 Issued in NM
Practice address
6401 Holly Ave NE
Albuquerque, NM 87113-2474
Phone
(505) 355-2020
NPI assigned
Sep 28, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-2023-0011 NM Primary

Addresses

Primary practice location

6401 Holly Ave NE
Albuquerque, NM 87113-2474

Mailing address

6401 Holly Ave NE
Albuquerque, NM 87113-2474
Phone (505) 355-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510002089 NM Practitioner - Optometry 4688027345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Eyecare Specialists P CGroup PAC ID 8426012600, 7 clinicians

Practice addresses (Care Compare)

7110 Wyoming Blvd NE
Albuquerque, NM 87109-4867
Phone (505) 346-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Juliette Eye Surgery Center CurrentSince Apr 5, 2024 Accepting new patients
Southwest Eyecare Specialists P C CurrentSince Mar 1, 2025 Accepting new patients

Locations

6401 Holly Ave NE
Albuquerque, NM 87113
Phone (505) 235-4005

7110 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 241-5461

8801 Horizon Blvd NE
Ste 130
Albuquerque, NM 87113
Phone (505) 355-2020

Interoperability endpoints

  • Direct secure messaging: zbaker@julietteeye.intellechartdirect.net
  • Direct secure messaging: zbaker@southwesteyecare.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1053191908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132474",
            "telephone_number": "505-355-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 HOLLY AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132474",
            "telephone_number": "505-355-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ZOE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT-2023-0011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.