Individual provider Active NPI

Steven Baker, LDO

  • Optician
  • Louisville, KY
National Provider Identifier
1124365739
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1259 Issued in KY
Practice address
4036 Dutchmans LN
Louisville, KY 40207-4704
Phone
(502) 895-2020
NPI assigned
Jan 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1259 KY Primary

Addresses

Primary practice location

4036 Dutchmans LN
Louisville, KY 40207-4704

Mailing address

3801 Bishop LN
Louisville, KY 40218-2905
Phone (502) 897-1656

Other identifiers 1

IdentifierTypeStateIssuer
52900271MedicaidKY

Other names 1

  • Steven A Baker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1259KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
PDS Consultants Optical LLC Optician Current Accepting new patients
PDS Consultants Optical LLC Optician Current Accepting new patients

Locations

4036 Dutchmans Ln
Louisville, KY 40207
Phone (502) 894-0322

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1124365739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISHOP LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182905",
            "telephone_number": "502-897-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074704",
            "telephone_number": "502-895-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STEVEN",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52900271",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "BAKER",
            "middle_name": "A",
            "credential": "LDO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.