Active NPI
Martin J Baer, O.D.
- Optometrist
- Woburn, MA
National Provider Identifier
1336125244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2008
- Practice address
- 65 Pleasant St
Woburn, MA 01801-4135 - Phone
- (781) 935-1025
- Fax
- (781) 933-6110
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2008 | MA | Primary |
Addresses
Primary practice location
65 Pleasant St
Woburn, MA 01801-4135
Mailing address
65 Pleasant St
Woburn, MA 01801-4135
Phone (781) 935-1025
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300713 | Medicaid | MA | |
| 0041854 | Other | MA | AETNA INSURANCE CO. |
| 717364 | Other | MA | TUFTS HEALTH PLAN |
| W20029 | Other | MA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin J. Baer, O.D.,P.C. | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Woburn, MA
- NPI 1912196858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1336125244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PLEASANT ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014135",
"telephone_number": "781-935-1025",
"fax_number": "781-933-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PLEASANT ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014135",
"telephone_number": "781-935-1025",
"fax_number": "781-933-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "MARTIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0300713",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE CO.",
"identifier": "0041854",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "717364",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "W20029",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.