Individual provider Active NPI

David B. Baxter, O.D.

  • Optometrist
  • New Bern, NC
National Provider Identifier
1386681724
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
944 Issued in NC
Practice address
3000 Trent Rd
New Bern, NC 28562-5735
Phone
(252) 637-2921
Fax
(252) 637-1863
NPI assigned
Jun 2, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 944 NC Primary

Addresses

Primary practice location

3000 Trent Rd
New Bern, NC 28562-5735

Mailing address

PO Box 12490
New Bern, NC 28561-2490
Phone (252) 637-2921

Other identifiers 1

IdentifierTypeStateIssuer
09053OtherNCBCBS PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20111212000003 NC Practitioner - Optometry 3274647540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. Baxter, OD, PAGroup PAC ID 1052439452, 2 clinicians

Practice addresses (Care Compare)

3000 Trent Rd
New Bern, NC 28562-5735
Phone (252) 637-2921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
944NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David B. Baxter, OD, PA CurrentSince Sep 1, 1977 Accepting new patients

Locations

3000 Trent Rd
New Bern, NC 28562
Phone (252) 637-2921

Interoperability endpoints

  • Direct secure messaging: direct@davidbaxterodpanewbernnc.compulinkdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1386681724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12490",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612490",
            "telephone_number": "252-637-2921",
            "fax_number": "252-637-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625735",
            "telephone_number": "252-637-2921",
            "fax_number": "252-637-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "DAVID",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "09053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.