Daniel William Baker, O.D.
Individual provider Active NPI Optometrist · Marshall, MN
NPI 1760612949 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1760612949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3193 (MN)
- Practice address
- 1221 E Main St
Marshall, MN 56258-2582 - Phone
- (507) 532-7459
- Fax
- (507) 532-7555
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1221 E Main St
Marshall, MN 56258-2582
Phone (507) 532-7459
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 70 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20101019001128 | MN | Practitioner - Optometry | 0143413443 | Practice locations: Marshall, MN; Willmar, MN; Montevideo, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Wal-Mart Stores, Inc | Past | Accepting new patients |
Interoperability endpoints
- danbakerod@bakereyecare.direct.eyemdemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3193 | MN | Yes |
Addresses
Primary practice location
1221 E Main St
Marshall, MN 56258-2582
Mailing address
1221 E Main St
Marshall, MN 56258-2582
Phone (507) 532-7459
Other practice location 1
700 19th Ave SE
Willmar, MN 56201-5499
Phone (320) 231-9726
Other practice location 2
3001 E Highway 7
Montevideo, MN 56265-4556
Phone (320) 269-2274
Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. 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.