Organization Active NPI

Baird Optical Co Inc

  • Optometrist
  • Phoenixville, PA
National Provider Identifier
1164971685
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BAIRD OPTICAL CO INC
Practice address
1570 Egypt Rd Ste 250
Phoenixville, PA 19460-1193
Phone
(610) 650-6888
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Dr. Lucas R Baird, ODNPI 1417202250
Title
Ceo
Phone
(814) 207-6526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1570 Egypt Rd Ste 250
Phoenixville, PA 19460-1193

Mailing address

1570 Egypt Rd Ste 250
Phoenixville, PA 19460-1193
Phone (610) 650-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170224000001 PA Part B Supplier - Clinic/Group Practice 1557645256 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenixville, PA

National Provider Directory

National Provider Directory

Locations

1570 Egypt Rd
Ste 250
Phoenixville, PA 19460
Phone (610) 650-6888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1164971685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 EGYPT RD STE 250",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601193",
            "telephone_number": "610-650-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 EGYPT RD STE 250",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601193",
            "telephone_number": "610-650-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIRD OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-207-6526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.