Individual provider Active NPI

Nathaniel Rhett Baker, O.D.

  • Optometrist
  • Vincennes, IN
National Provider Identifier
1891751202
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002986B Issued in IN
Practice address
223 Main St
Vincennes, IN 47591-1208
Phone
(812) 882-4809
Fax
(812) 882-4589
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002986B IN Primary

Addresses

Primary practice location

223 Main St
Vincennes, IN 47591-1208

Mailing address

223 Main St
Vincennes, IN 47591-1208
Phone (812) 882-4809

Other identifiers 6

IdentifierTypeStateIssuer
000000083976OtherINBLUE CROSS
351433409050OtherINCARESOURCE/MEDICAID
622531OtherINTRIGON
200256480MedicaidIN
0327640001OtherINDMERC
410044457OtherINMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20081119000668 IN Practitioner - Optometry 3072673151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrix Optometric Corporation 4 clinicians

Practice addresses (Care Compare)

223 Main St
Vincennes, IN 47591-1208
Phone (812) 882-4809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002986BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrix Optometric Corporation Optometrist CurrentSince Oct 1, 2008 Accepting new patients

Locations

223 Main St
Vincennes, IN 47591
Phone (812) 882-4809

109 Cherry Tree Plz
Washington, IN 47501
Phone (812) 254-1600

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1891751202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911208",
            "telephone_number": "812-882-4809",
            "fax_number": "812-882-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NATHANIEL",
        "middle_name": "RHETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002986B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000083976",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE/MEDICAID",
            "identifier": "351433409050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "622531",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200256480",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0327640001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410044457",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.