Nathan G Baas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NB004139 Issued in MI

Practice address

515 S Union St
Traverse City, MI 49684-3246

Phone

(231) 946-0333

Fax

(231) 946-1665

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baas Optometry PC

  dba Old Town Optical

  • Optometrist
  • Traverse City, MI
  • NPI 1821302548
  Medicare reassignment NPD Authorized official
• B. Jeffrey Pulk, P.C.

  dba Old Town Optical

  • Optometrist
  • Traverse City, MI
  • NPI 1528237690
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1619039864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S UNION ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843246",
            "telephone_number": "231-946-0333",
            "fax_number": "231-946-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S UNION ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843246",
            "telephone_number": "231-946-0333",
            "fax_number": "231-946-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAS",
        "first_name": "NATHAN",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "NB004139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944770039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900B811100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944717597",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Avolio
• Joel Thomas Ayala, OTR
• Melissa Aylworth, DDS
• B. Jeffrey Pulk, P.C. (Old Town Optical)
• Baas Optometry PC (Old Town Optical)
• Anne M Baase, LPC, MSW
• Back on Track Chiropractic P C
• Sydney Theresa Baehr
• Rafay M Baig, M.D.
• Jan Camille Bailey, LMSW

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.