Megan Baker Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

AA257 Issued in AK

Legal business name

MEGAN BAKER INC

Practice address

1911 Blackburn Way
North Pole, AK 99705-7331

Phone

(907) 490-0064

NPI assigned

Mar 27, 2008

Last updated

Jun 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Baker, O.D.

Title

Optometrist

Phone

(907) 452-2131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1700058997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 BLACKBURN WAY",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057331",
            "telephone_number": "907-490-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 BLACKBURN WAY",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057331",
            "telephone_number": "907-490-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN BAKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "907-452-2131",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "AA257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.