Erik James Baker, O.D.
Individual provider Active NPI Optometrist · Indianapolis, IN
NPI 1104100957 · NPPES record last updated Sep 28, 2011
Key facts
- NPI
- 1104100957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18003696A (IN)
- Practice address
- 9741 E Washington St
Indianapolis, IN 46229-3035 - Phone
- (317) 280-8234
- NPI assigned
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003696A | IN | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003696A | IN | Yes |
Addresses
Primary practice location
9741 E Washington St
Indianapolis, IN 46229-3035
Mailing address
2575 N County Road 200 W
New Castle, IN 47362-9031
Phone (765) 533-4611
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.