Lafayette Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LAFAYETTE VISION CENTER

Practice address

2300 Sagamore Parkway S
Lafayette, IN 47905

Phone

(765) 471-1515

Fax

(765) 471-1453

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Terry Richard Baker, OD

Title

Owner President

Phone

(765) 430-8752

Specialties & licenses 1

Addresses

Tax ID family

Lafayette Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lafayette Vision Center

  • Optometrist
  • Lafayette, IN
  • NPI 1114181328
  NPD tax ID

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1275797979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SAGAMORE PARKWAY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-471-1515",
            "fax_number": "765-471-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SAGAMORE PARKWAY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-471-1515",
            "fax_number": "765-471-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "765-430-8752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette Retina Clinic PC
• Lafayette School Corporation
• Lafayette Surgery Center LLC
• Lafayette Vein and Vascular Center LLC
• Lafayette Vision Center
• Lafayette Westend Dental LLC
• Lafayette Womans Health
• Lafayette Womans Health
• Lafayette Womens Health
• Lafayette'S Wound Center, LLC

• Optometrist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.