Individual provider Active NPI

Alex Baker, O.D.

  • Optometrist
  • Davis, CA
National Provider Identifier
1427287598
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13792 Issued in CA
Practice address
2019 Anderson Rd Ste C
Davis, CA 95616-0773
Phone
(530) 756-5050
Fax
(530) 204-5995
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13792 CA Primary

Addresses

Primary practice location

2019 Anderson Rd Ste C
Davis, CA 95616-0773

Mailing address

2019 Anderson Rd Ste C
Davis, CA 95616-0773
Phone (530) 756-5050

Other identifiers 1

IdentifierTypeStateIssuer
CB563YOtherCAMEDICARE PTAN

Other names 1

  • Dr. Alexander Lyle Baker Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbaker@bakereyes.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090821000164 CA Practitioner - Optometry 3870647084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Optometry IncGroup PAC ID 0042540734, 4 clinicians

Practice addresses (Care Compare)

2019 Anderson Rd
Suite C
Davis, CA 95616-0773
Phone (530) 219-6917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Optometry, Inc. Optometrist CurrentSince Mar 13, 2019 Accepting new patients
Helmus Optometry Optometrist PastSince Nov 1, 2015 Accepting new patients
Dixon Eyecare Associates an Optometric Corporation Optometrist PastSince Jul 14, 2023 Accepting new patients

Locations

2019 Anderson Rd
Ste C
Davis, CA 95616
Phone (530) 219-6917

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1427287598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 ANDERSON RD STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160773",
            "telephone_number": "530-756-5050",
            "fax_number": "530-204-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 ANDERSON RD STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160773",
            "telephone_number": "530-756-5050",
            "fax_number": "530-204-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB563Y",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbaker@bakereyes.com",
            "affiliation": "Y",
            "address_1": "2019 Anderson Rd Ste C",
            "city": "Davis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956160773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "BAKER",
            "middle_name": "LYLE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.