R Wayne Baker OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

000746T Issued in GA

Legal business name

R WAYNE BAKER OD PC

Practice address

1455Aold MC Donough Rd
Conyers, GA 30094-5979

Phone

(770) 922-4900

Fax

(770) 922-1563

NPI assigned

Jun 16, 2008

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R Wayne Baker, ODNPI 1669583563

Title

Optometrist Owner

Phone

(770) 922-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• R. Wayne Baker, OD

  • Optometrist
  • Conyers, GA
  • NPI 1669583563
  Authorized official Same address or phone

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1457511149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455A OLD MC DONOUGH RD",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945979",
            "telephone_number": "770-922-4900",
            "fax_number": "770-922-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455AOLD MC DONOUGH RD",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945979",
            "telephone_number": "770-922-4900",
            "fax_number": "770-922-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R WAYNE BAKER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "770-922-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000746T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Conyers, GA
• Providers in Conyers, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.