Matthew W. Baker, O.D.
Individual provider Active NPI Optometrist · Michigan City, IN
NPI 1467587675 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1467587675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18002051B (IN)
- Practice address
- 3901 Franklin St
Michigan City, IN 46360-7314 - Phone
- (219) 878-6668
- Fax
- (219) 878-1918
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002051B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Indiana Optometrists, PC | Optometrist | Past | Accepting new patients |
| Christopher J. Wolf, OD, Inc | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Eyecare Indiana LL, PC | Optometrist | Past | Accepting new patients |
| Eyecare Indiana II, P.C. | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002051B | IN | Yes |
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
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.