Robert E. Baldwin

Primary specialty

OptometristTaxonomy code 152W00000X

License

112533-9934 Issued in UT

Legal business name

ROBERT E. BALDWIN

Practice address

1097 N Main St
Logan, UT 84341-2215

Phone

(435) 752-6110

Fax

(435) 752-1935

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert E. Baldwin

Title

Owner

Phone

(435) 752-6110

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Baldwin Optical Doing business as

Locations

Practitioners 1

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

• Callin Passey, OD

  • Optometrist
  • Providence, UT
  • NPI 1508020363
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1356516801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412215",
            "telephone_number": "435-752-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412215",
            "telephone_number": "435-752-6110",
            "fax_number": "435-752-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. BALDWIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-6110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "112533-9934",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "UT",
            "license": "08-00959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529085657021",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990002180002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rise Healthcare Network
• Brett Ritter
• River Hollow Mental Health PLLC
• Sharon Denice Rivera
• Josefina Antonia Rizzo
• Robert L B Stevenson
• Linda Jones Roberts, APRN
• Lisa Shea Roberts, F.N.P.
• Sara Roberts, PHARMD
• Jeanice Alexandra Robins

• Optometrist in Logan, UT
• Providers in Logan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.