Organization Active NPI

Dr. Emily Baker, PC

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1265644959
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2433 Issued in CO
Legal business name
DR. EMILY BAKER, PC
Practice address
500 Summit Blvd
Broomfield, CO 80021-8219
Phone
(303) 466-3845
Fax
(303) 466-5483
NPI assigned
May 4, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Emily Jane Baker, O.D.NPI 1578519633
Title
Owner
Phone
(303) 466-3845

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
Optometrist 152W00000X 2433 CO Primary

Addresses

Primary practice location

500 Summit Blvd
Broomfield, CO 80021-8219

Mailing address

500 Summit Blvd
Broomfield, CO 80021-8219
Phone (303) 466-3845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000339 CO Part B Supplier - Clinic/Group Practice 3173616034 Receives reassigned benefits from 1 practitioner
Practice locations: Broomfield, CO; Longmont, CO

National Provider Directory

National Provider Directory
Tax ID family
Dr Emily Baker PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1265644959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218219",
            "telephone_number": "303-466-3845",
            "fax_number": "303-466-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218219",
            "telephone_number": "303-466-3845",
            "fax_number": "303-466-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EMILY BAKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-466-3845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.