Individual provider Active NPI

Elizabeth Louise Baron, O.D.

  • Specialist
  • Wauwatosa, WI
National Provider Identifier
1891880118
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2942-035 Issued in WI
Practice address
6412 W North Ave
Wauwatosa, WI 53213-2015
Phone
(414) 744-2020
Fax
(414) 774-0530
NPI assigned
Oct 3, 2006
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2942-035 WI Primary

Addresses

Primary practice location

6412 W North Ave
Wauwatosa, WI 53213-2015

Mailing address

7004 W Garfield Ave
Wauwatosa, WI 53213-1936
Phone (414) 305-3119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20041222000459 WI Practitioner - Optometry 3577521517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2205 N Calhoun Rd
Brookfield, WI 53005-5062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2942-035WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Vision Center of Wauwatosa, Inc CurrentSince Apr 30, 2003 Accepting new patients
O & Z Eye Care LLC CurrentSince Jun 18, 2016 Accepting new patients
Vision Mart Inc Past Accepting new patients
Vision Mart, Inc Past Accepting new patients

Locations

6005 W North Ave
Wauwatosa, WI 53213
Phone (414) 530-2477

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1891880118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 W GARFIELD AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131936",
            "telephone_number": "414-305-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132015",
            "telephone_number": "414-744-2020",
            "fax_number": "414-774-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "2942-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.