Terry Richard Baker, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

18001878A Issued in IN

Practice address

2300 Sagamore Parkway S
Lafayette, IN 47904

Phone

(765) 471-1515

Fax

(765) 471-1453

NPI assigned

Feb 7, 2007

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• Lafayette Vision Center

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  • NPI 1114181328
  Authorized official Same address or phone
• Lafayette Vision Center

  • Optometrist
  • Lafayette, IN
  • NPI 1275797979
  Authorized official Same address or phone
• Kalispell Foot & Ankle Clinic, PC

  • Podiatrist
  • Kalispell, MT
  • NPI 1770948929
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1902946056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SAGAMORE PARKWAY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47904",
            "telephone_number": "765-471-1515",
            "fax_number": "765-471-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SAGAMORE PARKWAY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47904",
            "telephone_number": "765-471-1515",
            "fax_number": "765-471-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TERRY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18001878A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex L Baker
• Bindi Baker
• Charlotte L Baker, MD
• Lisa Baker, AGNP
• Selena Lauren Baker, RDN, LD
• Noor Bakroun, MD
• Nivas Balasubramaniyam, MD
• James D Baldwin, MD
• Rodney L Ball, LCSW
• Hannah Banes, RBT

• Corneal and Contact Management Optometrist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Corneal and Contact Management Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.