Individual provider Active NPI

David J Baptiste, O.D.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1184801268
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6879 T Issued in TX
Practice address
4724 Montana Ave
El Paso, TX 79903-4811
Phone
(915) 566-8693
Fax
(915) 566-9229
NPI assigned
Jan 30, 2008
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 895 NV
Optometrist 152W00000X 1215-386T LA
Optometrist 152W00000X 3331 TN
Optometrist 152W00000X 18004006A IN
Optometrist 152W00000X TUV008541-1 NY
Optometrist 152W00000X 6879 T TX Primary

Addresses

Primary practice location

4724 Montana Ave
El Paso, TX 79903-4811

Mailing address

4724 Montana Ave
El Paso, TX 79903-4811
Phone (915) 566-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121018000543 TX Practitioner - Optometry 1951475805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Optical PCGroup PAC ID 3870611544, 2 clinicians

Practice addresses (Care Compare)

4724 Montana Ave
El Paso, TX 79903-4811
Phone (915) 566-8693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004006AINMDOptometrist
1215-386TLAMDOptometrist
895NVMDOptometrist
TUV008541-1NYMDOptometrist
3331TNMDOptometrist
6879 TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Optical, P.C. Optometrist CurrentSince Aug 16, 2017 Accepting new patients

Locations

4724 Montana Ave
El Paso, TX 79903
Phone (915) 566-8693

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1184801268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034811",
            "telephone_number": "915-566-8693",
            "fax_number": "915-566-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034811",
            "telephone_number": "915-566-8693",
            "fax_number": "915-566-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTE",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "895",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1215-386T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3331",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004006A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008541-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6879 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.