Active NPI
Merle Craig Baker, O.D.
- Optometrist
- Estherville, IA
National Provider Identifier
1639210347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1731
- Practice address
- 121 Central Ave
Estherville, IA 51334-2138 - Phone
- (712) 362-3560
- Fax
- (712) 362-3155
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1731 | IA | Primary |
Addresses
Primary practice location
121 Central Ave
Estherville, IA 51334-2138
Mailing address
PO Box 57
Estherville, IA 51334-0057
Phone (712) 362-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1218164 | Medicaid | IA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1731 | IA | MD | Optometrist |
| 01731 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1639210347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "ESTHERVILLE",
"state": "IA",
"postal_code": "513340057",
"telephone_number": "712-362-3560",
"fax_number": "712-362-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CENTRAL AVE",
"city": "ESTHERVILLE",
"state": "IA",
"postal_code": "513342138",
"telephone_number": "712-362-3560",
"fax_number": "712-362-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MERLE",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1218164",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Estherville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.