Loren John Baldus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3374 Issued in MN

Practice address

3630 11TH Ave NW
Rochester, MN 55901-4276

Phone

(507) 288-2457

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By 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

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester Family Eye Clinic LLCGroup PAC ID 7214952662, 6 clinicians

Practice addresses (Care Compare)

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.

• Rochester Family Eye Clinic LLC

  • Optometrist
  • Rochester, MN
  • NPI 1831173335
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1114339629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014276",
            "telephone_number": "507-288-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014276",
            "telephone_number": "507-288-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDUS",
        "first_name": "LOREN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Balcom, CGC
• Jean Lee Balcome-Dicke
• Joan L Balcome
• Ellen Balderes
• Jay Baldus
• Tom J Baldus, PA-C
• Anna Baldwin, PHARM.D.
• Annika Balekos, PA-C
• Ellie Jane Balken, PHARMD
• Bret G Ball, MD, PHD

• Optometrist in Rochester, MN
• Providers in Rochester, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.