NPIMap

Organization Active NPI

Bao Che

  • Optometrist
  • Peabody, MA
National Provider Identifier
1700910775
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4517 Issued in MA
Legal business name
BAO CHE
Practice address
300 Andover St
Peabody, MA 01960-1526
Phone
(978) 531-7217
NPI assigned
Mar 14, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Bao Che, O.D.
Title
Optometrist
Phone
(978) 531-7217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4517 MA Primary
Optometrist 152W00000X 0774 NH

Addresses

Primary practice location

300 Andover St
Peabody, MA 01960-1526

Mailing address

300 Andover St
Peabody, MA 01960-1526

Other identifiers 1

IdentifierTypeStateIssuer
W20412OtherMABCBSMA GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1700910775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ANDOVER ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ANDOVER ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601526",
            "telephone_number": "978-531-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAO CHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CHE",
        "authorized_official_first_name": "BAO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "978-531-7217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4517",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA GROUP #",
            "identifier": "W20412",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.