Bob Baldwin, O.D.
Individual provider Active NPI Optometrist · Midwest City, OK
NPI 1124182654 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124182654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 758 (OK)
- Practice address
- 6912 E Reno Ave
Suite 101
Midwest City, OK 73110-2162 - Phone
- (405) 732-2277
- Fax
- (405) 737-4776
- NPI assigned
- Dec 20, 2006
- 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 |
|---|---|---|---|
| 758 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 758 | OK | Yes |
Addresses
Primary practice location
6912 E Reno Ave
Suite 101
Midwest City, OK 73110-2162
Mailing address
6912 E Reno Ave
Suite 101
Midwest City, OK 73110-2162
Phone (405) 732-2277
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.