Stephen Lewis Baugh, OD
Individual provider Active NPI Optometrist · Lonoke, AR
NPI 1760425854 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1760425854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2420 (AR)
- Practice address
- 114 E Front St
Lonoke, AR 72086-3235 - Phone
- (501) 676-6844
- Fax
- (501) 676-3910
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3116 S Olive
Pine Bluff, AR 71603-0649
3116 S Olive St
Pine Bluff, AR 71603-6049
Phone (870) 535-0151
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110801000949 | AR | Practitioner - Optometry | 1658540091 |
Reassigns benefits to 1 organization Practice locations: Lonoke, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2420 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baugh Eyecare Associates, PA | Optometrist | Current |
Accepting new patients |
| Stephen L Baugh OD | Past |
Accepting new patients | |
| Fletcher Baugh O.D. | Optometrist | Past | Accepting new patients |
Locations
3116 S Olive St
Pine Bluff, AR 71603
Phone (870) 535-0151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2420 | AR | |
| Optometrist | 152W00000X | 2420 | AR | Yes |
Addresses
Primary practice location
114 E Front St
Lonoke, AR 72086-3235
Mailing address
114 E Front St
Lonoke, AR 72086-3235
Phone (501) 676-6844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123812722 | Medicaid | AR | |
| 15531000042 | Other | AR | QUALCHOICE |
| 5555041 | Other | AETNA | |
| 123712622 | Medicaid | AR | |
| 410043619 | Other | RR MEDICARE | |
| 15531000041 | Other | QUALCHOICE |
Other providers in Lonoke, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.