David Edward Baldwin

Primary specialty

OptometristTaxonomy code 152W00000X

License

2020015594 Issued in MO

Practice address

27702 Hackberry Dr
Sedalia, MO 65301-0560

Phone

(660) 221-9593

NPI assigned

Apr 9, 2020

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

St. Louis College of Physicians and Surgeons, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Specialties of Missouri LLCGroup PAC ID 9931421187, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eyecare Specialties of Missouri LLC

  dba Eyecare Specialites

  • Optometrist
  • Warrensburg, MO
  • NPI 1730596248
  Medicare reassignment Care Compare group
• Eyecare Specialties of Missouri LLC

  dba Eyecare Specialties

  • Optometrist
  • Sedalia, MO
  • NPI 1053482711
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1356960579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 HACKBERRY DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010560",
            "telephone_number": "660-221-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27702 HACKBERRY DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010560",
            "telephone_number": "660-221-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020015594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Backe
• Barry Philip Backer, OTR
• Nicholas Bagby, SLP
• Debbie Baker
• Gail V Baker, MS , LPC
• Olivia Maree Ballard, HIS
• Angelina Banakh, DH
• Alexandra Elizabeth Bankovich
• Linda Kay Barbour, LPC
• Beard Family Dental, LLC

• Optometrist in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.