DRS. Baals and Wiegand Family Eye Care P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

56000221A Issued in IN

Legal business name

DRS. BAALS AND WIEGAND FAMILY EYE CARE P.C.

Practice address

240 Hoosier Dr
Angola, IN 46703-9314

Phone

(260) 668-3937

Fax

(260) 668-3794

NPI assigned

Dec 19, 2005

Last updated

Feb 8, 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

Dr. Grey P. Baals, O.D.NPI 1073516753

Title

President

Phone

(260) 668-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grey Preston Baals, O.D.

  • Optometrist
  • Angola, IN
  • NPI 1073516753
  NPD (past) Authorized official
• Thomas Joseph Wiegand, O.D.

  • Optometrist
  • Angola, IN
  • NPI 1396748703
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1710963152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HOOSIER DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039314",
            "telephone_number": "260-668-3937",
            "fax_number": "260-668-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOOSIER DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039314",
            "telephone_number": "260-668-3937",
            "fax_number": "260-668-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BAALS AND WIEGAND FAMILY EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BAALS",
        "authorized_official_first_name": "GREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-668-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000221A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "000000104867",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Angola, IN
• Providers in Angola, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.