Active NPI
Matthew W. Baker, O.D.
- Optometrist
- Michigan City, IN
National Provider Identifier
1467587675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002051B
- Practice address
- 3901 Franklin St
Michigan City, IN 46360-7314 - Phone
- (219) 878-6668
- Fax
- (219) 878-1918
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 18002051B | IN | Primary |
Addresses
Primary practice location
3901 Franklin St
Michigan City, IN 46360-7314
Mailing address
207 Leeds Dr
Valparaiso, IN 46383-2422
Phone (219) 462-3679
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 |
|---|---|---|---|
| 18002051B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J. Wolf, OD, Inc | Optometrist | Past | Accepting new patients |
| Eyecare Indiana LL, PC | Optometrist | Past | Accepting new patients |
| Eyecare Indiana II, P.C. | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Northern Indiana Optometrists, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Optometrist
- South Bend, IN
- NPI 1023069283
-
- Optometrist
- South Bend, IN
- NPI 1841215738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467587675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 LEEDS DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832422",
"telephone_number": "219-462-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607314",
"telephone_number": "219-878-6668",
"fax_number": "219-878-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MATTHEW",
"middle_name": "W.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002051B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.