Shelby Baker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00375000 Issued in NJ

Practice address

17 W Broad St
Burlington, NJ 08016-4413

Phone

(609) 386-0352

Fax

(609) 386-3702

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Professionals LLCGroup PAC ID 3072771617, 7 clinicians

Burlington County Eye Physicians IIGroup PAC ID 7315956620, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.13 of 100Reported as group

Quality

96.32

Improvement activities

40

Cost

71.99

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbaker@bcep.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eye Professionals LLC

  • Ophthalmology Physician
  • Millville, NJ
  • NPI 1962786590
  Medicare reassignment Care Compare group NPD
• Burlington County Eye Physicians II

  • Ophthalmology Physician
  • Willingboro, NJ
  • NPI 1891891743
  Medicare reassignment Care Compare group
• Leonard and Shelby Baker PTR

  • Optometrist
  • Burlington, NJ
  • NPI 1013051333
  Authorized official Same address or phone

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356411979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164413",
            "telephone_number": "609-386-0352",
            "fax_number": "609-386-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164413",
            "telephone_number": "609-386-0352",
            "fax_number": "609-386-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SHELBY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00375000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleena Babu, RBT
• Gianna Marie Bach, OTR/L
• Bridget Bailey
• Savannah J Bailey
• Jasmine Bajaj, MD
• Stacie Yvette Baker, LPN
• Denise Ball, BA
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation

• Optometrist in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.