Active NPI
Robert E. Baldwin
- Optician
- Logan, UT
National Provider Identifier
1922018886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 06-00959
- Practice address
- 1451 N 200 E Ste 195
Logan, UT 84341-7574 - Phone
- (435) 752-6110
- Fax
- (435) 752-1935
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 06-00959 | UT | Primary |
Addresses
Primary practice location
1451 N 200 E Ste 195
Logan, UT 84341-7574
Mailing address
1451 N 200 E Ste 195
Logan, UT 84341-7574
Phone (435) 752-6110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-00959 | UT | MD | Optician |
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, 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": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1922018886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 N 200 E STE 195",
"city": "LOGAN",
"state": "UT",
"postal_code": "843417574",
"telephone_number": "435-752-6110",
"fax_number": "435-752-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 N 200 E STE 195",
"city": "LOGAN",
"state": "UT",
"postal_code": "843417574",
"telephone_number": "435-752-6110",
"fax_number": "435-752-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "ROBERT",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "UT",
"license": "06-00959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.