Organization Active NPI

Richard W. Baker, O.D.

  • Optometrist
  • Lafayette, CA
National Provider Identifier
1285844001
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4640TPG Issued in CA
Legal business name
RICHARD W. BAKER, O.D.
Practice address
3581 Mt Diablo Blvd
Lafayette, CA 94549-3891
Phone
(925) 283-8502
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Richard W. Baker, O.D.
Title
Owner
Phone
(925) 283-8502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4640TPG CA Primary

Addresses

Primary practice location

3581 Mt Diablo Blvd
Lafayette, CA 94549-3891

Mailing address

3581 Mt Diablo Blvd
Lafayette, CA 94549-3891
Phone (925) 283-8502

Other identifiers 1

IdentifierTypeStateIssuer
1033245717OtherCAPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

3581 Mt Diablo Blvd
Lafayette, CA 94549
Phone (925) 283-8502

3581 Mt Diablo Blvd
Ste C
Lafayette, CA 94549
Phone (925) 283-8502

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1285844001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 MT DIABLO BLVD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493891",
            "telephone_number": "925-283-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 MT DIABLO BLVD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493891",
            "telephone_number": "925-283-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. BAKER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-283-8502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4640TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1033245717",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.