Active NPI
Richard Whitney Baxter, O.D.
- Optometrist
- Tumwater, WA
National Provider Identifier
1174570451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1530 TX
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1530 TX | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Health PLLC | Optometrist | Current | 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.
-
- Optometrist
- Tumwater, WA
- NPI 1184781353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.