Curtis R. Baxstrom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1583TX Issued in WA

Practice address

1705 S 324TH PL
Federal Way, WA 98003-8504

Phone

(253) 661-6005

Fax

(253) 661-0633

NPI assigned

Aug 19, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 1984

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.

• Northwest Vision and Learning Center

  • Vision Therapy Optometrist
  • Federal Way, WA
  • NPI 1073716098
  Medicare reassignment NPD Authorized official
• Northwest Vision and Learning Center

  • Optometrist
  • Federal Way, WA
  • NPI 1952421372
  NPD Authorized official
• Curtis R Baxstrom Jr

  • Optometrist
  • Federal Way, WA
  • NPI 1164545612
  NPD (past) Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1699767285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S 324TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038504",
            "telephone_number": "253-661-6005",
            "fax_number": "253-661-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S 324TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038504",
            "telephone_number": "253-661-6005",
            "fax_number": "253-661-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXSTROM",
        "first_name": "CURTIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1583TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015261",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuki Patricia Battan, LMP
• Maureen Batterberry, PA C
• John M Bauman, M.D.
• Aileen Bautista
• Berry Dale Baxley, RPH
• Diane Marie Meru Bayaca
• Yohannes Baye, NAR
• Crystal Bazan
• Nicole Ann Bazzetta, ARNP
• Elizabeth Beatt, ND

• Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.