Grey Preston Baals, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002267 Issued in IN

Practice address

712 Cameron Woods Dr
Angola, IN 46703

Phone

(260) 668-3937

Fax

(260) 668-3794

NPI assigned

May 24, 2005

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

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.

• Midwest Eye Consultants, P.C.

  dba Cataract & Laser Institute

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment NPD
• DRS. Baals and Wiegand Family Eye Care P.C.

  • Optometrist
  • Angola, IN
  • NPI 1710963152
  NPD (past) Authorized official
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #32

  • Optometrist
  • Noblesville, IN
  • NPI 1164485785
  NPD
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #12

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1073516753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CAMERON WOODS DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "46703",
            "telephone_number": "260-668-3937",
            "fax_number": "260-668-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAALS",
        "first_name": "GREY",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000092385",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01201641",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Allen Anzelmo, P.T.
• Elizabeth Maria Anzelmo, P.T.
• Aperion Care Angola LLC (Aperion Care Angola)
• Arcadia Healthcare Solutions, Inc.
• Michaella Ash, FNP-C
• Jenny L Bachelor, H.I.S
• Shannon N Bailey
• Jessica Baker, NP
• Kelly Balyeat
• James Thomas Baryo, DDS

• Optometrist in Angola, IN
• Providers in Angola, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.