Individual provider Active NPI

Richard Whitney Baxter, O.D.

  • Optometrist
  • Tumwater, WA
National Provider Identifier
1174570451
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1530 TX Issued in WA
Practice address
5164 Capitol Blvd SE
Tumwater, WA 98501-4442
Phone
(360) 357-3410
Fax
(360) 357-5652
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1530 TX WA Primary

Addresses

Primary practice location

5164 Capitol Blvd SE
Tumwater, WA 98501-4442

Mailing address

210 Pinehurst Drive SW
Tumwater, WA 98501-5237
Phone (360) 357-3410

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070112000374 WA Practitioner - Optometry 6709886823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Health PLLCGroup PAC ID 3072612779, 5 clinicians

Practice addresses (Care Compare)

5164 Capitol Blvd SE
Tumwater, WA 98501-4442
Phone (360) 357-3410

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1530 TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Health PLLC Optometrist CurrentSince Apr 28, 2006 Accepting new patients

Locations

210 Pinehurst Dr SW
Tumwater, WA 98501
Phone (360) 357-3410

5164 Capitol Blvd SE
Tumwater, WA 98501
Phone (360) 357-3410

Organizations & group practices 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1174570451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PINEHURST DRIVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015237",
            "telephone_number": "360-357-3410",
            "fax_number": "360-357-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014442",
            "telephone_number": "360-357-3410",
            "fax_number": "360-357-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "RICHARD",
        "middle_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1530 TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.