Tad D. Baker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1502-3 Issued in KS

Practice address

1223 N Rock Rd
BLDG C
Wichita, KS 67206-1277

Phone

(316) 634-2020

Fax

(316) 634-2025

NPI assigned

Sep 25, 2006

Last updated

Mar 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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 KS, MO2 enrollments

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 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smithville Eye Center LLCGroup PAC ID 1254338353, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Smithville Eye Center LLC

  • Optometrist
  • Smithville, MO
  • NPI 1801992573

  KS

  Medicare reassignment Care Compare group
• Hiesterman Family Eye Care, LLC

  • Optometrist
  • Clay Center, KS
  • NPI 1700995750
  NPD (past)
• Lawrence Family Vision Clinic P a

  • Optometrist
  • Lawrence, KS
  • NPI 1396895009
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1902906027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BLDG C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061277",
            "telephone_number": "316-634-2020",
            "fax_number": "316-634-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BLDG C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061277",
            "telephone_number": "316-634-2020",
            "fax_number": "316-634-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TAD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1502-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Baker, ARNP
• Michael Wayne Baker, LMFT
• Roger D Baker, DDS
• Ryan A Baker
• Ryann Ashlie Baker, AAPS
• Tasha Baker
• Zoe Elizabeth Baker, CNA
• Baks Inc. (BrightStar Healthcare)
• Balanced Life Wichita
• Madison M Balbierz, DDS

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.