Moon Sik Baek

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2022704976 Issued in DE

Practice address

71 Marrows Rd
Newark, DE 19713-3701

Phone

(302) 509-8418

NPI assigned

Jul 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Look Optical Inc

  dba Look Optical Brookside

  • Durable Medical Equipment & Medical Supplies
  • Newark, DE
  • NPI 1023880689
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1073247144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MARROWS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133701",
            "telephone_number": "302-509-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MARROWS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133701",
            "telephone_number": "302-509-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "MOON SIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "DE",
            "license": "2022704976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronetia Bacon
• Danielle Badillo
• Jennifer Badillo, CLD
• Sung Ho Bae, MD
• Hee Jong Baek
• Jenna M. Baffone
• Stephanie A Baffone, LPCMH
• Mamadou Mouctar Bah, PA
• Jessica Bahls, M.S.
• Sarim Ahmed Baig, MD

• Optician in Newark, DE
• Providers in Newark, DE by specialty
• Optician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.