Active NPI
Roy Edward Baker, O.D.
- Corneal and Contact Management Optometrist
- Arlington, MA
National Provider Identifier
1376522946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 2615
- Practice address
- 11 Jason St
Arlington, MA 02476-6410 - Phone
- (178) 164-8342
- NPI assigned
- Jan 12, 2006
- Last updated
- Jul 13, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2615 | MA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2615 | MA | Primary |
| Pediatric Optometrist | 152WP0200X | 2615 | MA | |
| Vision Therapy Optometrist | 152WV0400X | 2615 | MA |
Addresses
Primary practice location
11 Jason St
Arlington, MA 02476-6410
Mailing address
11 Jason St
Arlington, MA 02476-6410
Phone (178) 164-8342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0329827 | Medicaid | MA | |
| BAW15030 | Other | MA | BL CROSS AND BL SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2615 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376522946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 JASON ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766410",
"telephone_number": "178-164-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 JASON ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766410",
"telephone_number": "178-164-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ROY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2615",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "2615",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MA",
"license": "2615",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MA",
"license": "2615",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0329827",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BL CROSS AND BL SHIELD",
"identifier": "BAW15030",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.