NPIMap

Organization Active NPI

Arnel R Baird

  • Optometrist
  • Pocatello, ID
National Provider Identifier
1851411276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ID ODP801 Issued in ID
Legal business name
ARNEL R BAIRD
Practice address
301 S 4TH Ave
C-2
Pocatello, ID 83201-6462
Phone
(208) 637-0841
Fax
(208) 237-6922
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arnel R Baird, O.D.NPI 1063556116
Title
Owner
Phone
(208) 542-9155

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ID ODP801 ID Primary

Addresses

Primary practice location

301 S 4TH Ave
C-2
Pocatello, ID 83201-6462

Mailing address

11670 N 15TH E
Idaho Falls, ID 83401-5111
Phone (208) 542-9155

Other identifiers 6

IdentifierTypeStateIssuer
50065OtherIDDAVIS VISION
130136OtherIDNATIONAL VISION ADMIN.
V6986OtherIDBLUE CROSS
2276103OtherIDFIRST HEALTH
ID 0801OtherIDEYEMED
ID 00801OtherIDVISION BENEFITS OF AMERIC

Other names 1

  • 20 20 Optical & Vision Center, pllc Doing business as

National Provider Directory

National Provider Directory

Locations

301 S 4th Ave
#C2
Pocatello, ID 83201
Phone (208) 637-0841

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851411276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 N 15TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015111",
            "telephone_number": "208-542-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 4TH AVE",
            "address_2": "C-2",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016462",
            "telephone_number": "208-637-0841",
            "fax_number": "208-237-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNEL R BAIRD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "ARNEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-542-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ID ODP801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50065",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMIN.",
            "identifier": "130136",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V6986",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2276103",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "ID 0801",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "ID 00801",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20 20 Optical & Vision Center, pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.