Organization Active NPI

Glenn Baggs, OD, PC

  • Optometrist
  • Muskogee, OK
National Provider Identifier
1730238080
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2089 Issued in OK
Legal business name
GLENN BAGGS, OD, PC
Practice address
501 N Main St
Suite 36B
Muskogee, OK 74401-6348
Phone
(918) 687-9898
Fax
(918) 683-1990
NPI assigned
Jan 9, 2007
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Eric Glenn Baggs, O.D.
Title
Owner
Phone
(918) 687-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2089 OK Primary

Addresses

Primary practice location

501 N Main St
Suite 36B
Muskogee, OK 74401-6348

Mailing address

501 N Main St
Suite 36B
Muskogee, OK 74401-6348
Phone (918) 687-9898

Other identifiers 1

IdentifierTypeStateIssuer
100747780AMedicaidOK

National Provider Directory

National Provider Directory

Locations

501 N Main St
Ste 36B
Muskogee, OK 74401
Phone (918) 687-9898

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1730238080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "address_2": "SUITE 36B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016348",
            "telephone_number": "918-687-9898",
            "fax_number": "918-683-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "address_2": "SUITE 36B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016348",
            "telephone_number": "918-687-9898",
            "fax_number": "918-683-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN BAGGS, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BAGGS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-687-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

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