Individual provider Active NPI

James N Baker, OD

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1477629020
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2295 Issued in MI
Practice address
1125 W Columbia Ave
Battle Creek, MI 49015-3031
Phone
(269) 963-1298
Fax
(269) 963-5950
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2295 MI Primary

Addresses

Primary practice location

1125 W Columbia Ave
Battle Creek, MI 49015-3031

Mailing address

1125 W Columbia Ave
Battle Creek, MI 49015-3031
Phone (269) 963-1298

Other identifiers 1

IdentifierTypeStateIssuer
2230127OtherMIUNITED & IBA HEALTH CARE

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

LicenseStateTypeSpecialty
2295MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rays Optical Service, Inc. Current Accepting new patients
Eyeglass Acquisitions, Inc. Past Accepting new patients

Locations

1125 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 963-1298

Organizations & group practices 2

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477629020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W COLUMBIA AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153031",
            "telephone_number": "269-963-1298",
            "fax_number": "269-963-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W COLUMBIA AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153031",
            "telephone_number": "269-963-1298",
            "fax_number": "269-963-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JAMES",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED & IBA HEALTH CARE",
            "identifier": "2230127",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.