NPIMap

Organization Active NPI

Baker Eye Associates, PC

  • Optometrist
  • Danvers, MA
National Provider Identifier
1467629618
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3075 Issued in MA
Legal business name
BAKER EYE ASSOCIATES, PC
Practice address
49 Locust St
Suite 101
Danvers, MA 01923-2239
Phone
(978) 376-1637
Fax
(978) 304-0413
NPI assigned
May 15, 2008
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Andrew Dearborn Baker, O.D.
Title
President
Phone
(978) 376-1637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3075 MA Primary

Addresses

Primary practice location

49 Locust St
Suite 101
Danvers, MA 01923-2239

Mailing address

49 Locust St
Suite 101
Danvers, MA 01923-2239
Phone (978) 376-1637

Other identifiers 5

IdentifierTypeStateIssuer
W20157OtherBCBS
0353027MedicaidMA
110072761AMedicaidMA
D09427OtherRAILROAD MEDICARE
W15607OtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1467629618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LOCUST ST",
            "address_2": "SUITE 101",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232239",
            "telephone_number": "978-376-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LOCUST ST",
            "address_2": "SUITE 101",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232239",
            "telephone_number": "978-376-1637",
            "fax_number": "978-304-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DEARBORN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-376-1637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W20157",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353027",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072761A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "D09427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W15607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.