Stephen M Baker O D, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006508 Issued in NY

Legal business name

STEPHEN M BAKER O D, PLLC

Practice address

608 Pearl St
Watertown, NY 13601-2194

Phone

(315) 788-2020

Fax

(315) 755-3937

NPI assigned

Apr 3, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Marc Baker, ODNPI 1780778217

Title

President

Phone

(315) 788-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Stephen Marc Baker, O.D.

  • Optometrist
  • Watertown, NY
  • NPI 1780778217
  Medicare reassignment NPD Authorized official
• Kayla Marie Dingman, OD

  • Optometrist
  • Oswego, NY
  • NPI 1821834169
  Medicare reassignment NPD

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1205368750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 PEARL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012194",
            "telephone_number": "315-788-2020",
            "fax_number": "315-755-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 PEARL ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012194",
            "telephone_number": "315-788-2020",
            "fax_number": "315-755-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M BAKER O D, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-788-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Steel, LMFT
• Janet L Steele, LPN
• Kraig Steele
• Leah Marie Steele, PTA
• Andrea Stefani, PT
• Justin Stephens
• Jerilyn Rae Steria
• Sheryl Sterling-Skinner, M.S. R.D.
• Elizabeth Stevens, CASAC-T
• Kristy Lyn Stevens, RN

• Optometrist in Watertown, NY
• Providers in Watertown, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.