Active NPI
Nathaniel Rhett Baker, O.D.
- Optometrist
- Vincennes, IN
National Provider Identifier
1891751202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002986B
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000083976 | Other | IN | BLUE CROSS |
| 351433409050 | Other | IN | CARESOURCE/MEDICAID |
| 622531 | Other | IN | TRIGON |
| 200256480 | Medicaid | IN | |
| 0327640001 | Other | IN | DMERC |
| 410044457 | Other | IN | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
223 Main St
Vincennes, IN 47591-1208
Phone (812) 882-4809
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002986B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrix Optometric Corporation | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.