Individual provider Active NPI

Emily Jane Baker, O.D.

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1578519633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2433 Issued in CO
Practice address
500 Summit Blvd
Broomfield, CO 80021-8219
Phone
(303) 466-3845
Fax
(303) 466-5483
NPI assigned
May 26, 2006
Sex
Female
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 2433 CO Primary

Addresses

Primary practice location

500 Summit Blvd
Broomfield, CO 80021-8219

Mailing address

1995 E Coalton Rd
#81-301
Superior, CO 80027-4419
Phone (303) 653-4599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20071101000084 CO Practitioner - Optometry 0547357238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Summit Blvd
Broomfield, CO 80021-8219
Phone (303) 466-3845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2433COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Emily Baker, PC Optometrist CurrentSince Apr 1, 2009 Accepting new patients
Dr Emily Baker & Associates, PC Optometrist Past Accepting new patients
Dr. Emily Baker & Associates, PC Optometrist Past Accepting new patients

Locations

500 Summit Blvd
Broomfield, CO 80021
Phone (303) 466-3845

Organizations & group practices 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578519633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E COALTON RD",
            "address_2": "#81-301",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274419",
            "telephone_number": "303-653-4599",
            "fax_number": "303-466-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218219",
            "telephone_number": "303-466-3845",
            "fax_number": "303-466-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.