Individual provider Active NPI

Stephen Lewis Baugh, OD

  • Optometrist
  • Lonoke, AR
National Provider Identifier
1760425854
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2420 Issued in AR
Practice address
114 E Front St
Lonoke, AR 72086-3235
Phone
(501) 676-6844
Fax
(501) 676-3910
NPI assigned
Jun 14, 2006
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2420 AR
Optometrist 152W00000X 2420 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000949 AR Practitioner - Optometry 1658540091 Reassigns benefits to 1 organization
Practice locations: Lonoke, AR

Care Compare profile

Medicare Care Compare
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

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baugh Eyecare Associates, PA Optometrist CurrentSince Jul 6, 1993 Accepting new patients
Stephen L Baugh OD PastSince Sep 22, 1993 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1760425854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E FRONT ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720863235",
            "telephone_number": "501-676-6844",
            "fax_number": "501-676-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E FRONT ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720863235",
            "telephone_number": "501-676-6844",
            "fax_number": "501-676-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "STEPHEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "2420",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonoke, AR

Sources for this page

Verify at the official NPI Registry.