Ted A Bailey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 6161 TPA Issued in CA

Practice address

1665 Dominican Way
Suite 224
Santa Cruz, CA 95065-1528

Phone

(831) 476-8033

Fax

(831) 476-4571

NPI assigned

Feb 3, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1356489959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY STE 122",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-1298",
            "fax_number": "831-476-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "SUITE 224",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-8033",
            "fax_number": "831-476-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 6161 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bailey-Porter, LMFT
• Holly Bailey, N.P.
• Jennifer Ann Bailey
• Kelly Bailey
• Melissa Bailey
• Alisa Caroline Baker, PH.D.
• Andrew Baker
• Fran Judith Baker, RN
• Jena Baker
• Justin Baker, AMFT

• Optometrist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.