NPIMap

Organization Active NPI

Davida a Baxter OD PC

Doing business as Baxter Eye Care

  • Corneal and Contact Management Optometrist
  • The Woodlands, TX
National Provider Identifier
1780860833
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
DAVIDA A BAXTER OD PC
Doing business as
Baxter Eye Care
Practice address
9004 Forest Xing
Suite a
The Woodlands, TX 77381-1193
Phone
(281) 364-1981
Fax
(281) 296-2490
NPI assigned
Jan 18, 2008
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Davida Baxter, O.D.NPI 1962579599
Title
Owner
Phone
(281) 364-1981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X NU Primary

Addresses

Primary practice location

9004 Forest Xing
Suite a
The Woodlands, TX 77381-1193

Mailing address

9004 Forest Xing
Suite a
The Woodlands, TX 77381-1193
Phone (281) 364-1981

Other names 1

  • Baxter Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090422000092 TX Part B Supplier - Clinic/Group Practice 9739236175 Receives reassigned benefits from 3 practitioners
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

9004 Forest Xing
Ste A
The Woodlands, TX 77381
Phone (281) 364-1981

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1780860833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811193",
            "telephone_number": "281-364-1981",
            "fax_number": "281-296-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 FOREST XING",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811193",
            "telephone_number": "281-364-1981",
            "fax_number": "281-296-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDA A BAXTER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-364-1981",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.