Active NPI
James Bruce Baldwin, OD
- Optometrist
- Fuquay Varina, NC
National Provider Identifier
1376539007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1290
- Practice address
- 605 Attain St Ste 101
Fuquay Varina, NC 27526-1972 - Phone
- (919) 567-3709
- NPI assigned
- Sep 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1290 | NC | Primary |
Addresses
Primary practice location
605 Attain St Ste 101
Fuquay Varina, NC 27526-1972
Mailing address
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560-8442
Phone (919) 392-2002
Other practice location 1
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-2067
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 |
|---|---|---|---|
| 1290 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1376539007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR",
"address_2": "STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442",
"telephone_number": "919-392-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 ATTAIN ST STE 101",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261972",
"telephone_number": "919-567-3709"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "919-966-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDWIN",
"first_name": "JAMES",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.