Active NPI
Joel J Baatz, O.D.
- Optometrist
- Greeley, CO
National Provider Identifier
1699801464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2108
- Practice address
- 920 47TH Ave
Greeley, CO 80634-2042 - Phone
- (970) 378-1818
- NPI assigned
- Feb 26, 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 | 2108 | CO | Primary |
Addresses
Primary practice location
920 47TH Ave
Greeley, CO 80634-2042
Mailing address
920 47TH Ave
Greeley, CO 80634-2042
Phone (970) 378-1818
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 |
|---|---|---|---|
| 2108 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1699801464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 47TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342042",
"telephone_number": "970-378-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 47TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342042",
"telephone_number": "970-378-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAATZ",
"first_name": "JOEL",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.