Stacey Lana Baugaard, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002515 Issued in PA

Practice address

100 W Big Beaver Rd
Suite 655
Troy, MI 48084-5206

Phone

(419) 874-0393

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1508154881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HAMILTON ST PH 107",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304201",
            "telephone_number": "267-615-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BIG BEAVER RD",
            "address_2": "SUITE 655",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845206",
            "telephone_number": "419-874-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGAARD",
        "first_name": "STACEY",
        "middle_name": "LANA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn M Batchelor, LMSW
• Stephen John Batchelor, LMSW
• Anjali Care Bathvi
• Kareena Batra
• Carole A Bauer, NP
• Daniel J. Baumann, O.D.
• Gema Bautista Morris, BCBA, LBA
• Angeline L Bayci, OTRL
• Charlotte Elaine Bazydlo
• Faten Y Bazzi, MS, LLP

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.