Mary E. Baker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1995TX Issued in WA

Practice address

1135 116TH Ave NE Ste 120
Bellevue, WA 98004-4626

Phone

(425) 638-0700

Fax

(425) 638-0800

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Overlake Family Vision, PLLC

  • Point of Service
  • Bellevue, WA
  • NPI 1629241112
  Medicare reassignment NPD Authorized official
• Juanita Vision Works, LLC

  • Point of Service
  • Kirkland, WA
  • NPI 1841446267
  Authorized official Same address or phone
• Ahrens Valley Eyeworks

  • Clinic/Center
  • Monroe, WA
  • NPI 1417123472
  NPD (past)
• Matthew S. Schroeder, OD, PLLC

  • Optometrist
  • Bellevue, WA
  • NPI 1659292621
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273881600000",
    "number": "1841320843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044626",
            "telephone_number": "425-638-0700",
            "fax_number": "425-638-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044626",
            "telephone_number": "425-638-0700",
            "fax_number": "425-638-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1995TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Charles Baker, D.C., C.S.C.S.
• Christina Baker, RD
• Katha Marie Baker
• Katharine Michela Baker, LMP
• Lee Nicholas Baker, MSW, LSWAIC
• Michael Von Baker, N.D.
• Rachel Allen Baker, ARNP
• Randall Baker, MD
• Robert George Baker Jr., M.A.
• Tamara L Baker, RPT

• Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.