Individual provider Active NPI

Gary Mark Baron, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1962542670
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
P659A Issued in AZ
Practice address
8340 W McDowell Rd
Phoenix, AZ 85037-4101
Phone
(623) 936-0613
Fax
(623) 936-0653
NPI assigned
Feb 8, 2007
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1343 AZ
Optometrist 152W00000X 12497TPA CA
Optometrist 152W00000X P659A AZ Primary

Addresses

Primary practice location

8340 W McDowell Rd
Phoenix, AZ 85037-4101

Mailing address

9132 W Heber Rd
Tolleson, AZ 85353-5563
Phone (714) 394-1387

Other identifiers 3

IdentifierTypeStateIssuer
12497TPAOtherCAOPTOMETRY LICENSE NUMBER
P659AOtherAZTHERAPEUTIC DRUG LICENSE
1343OtherAZOPTOMETRY LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040419000608 AZ Practitioner - Optometry 1355336306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

711 E Bell Rd
2 NW Vision Ctr
Phoenix, AZ 85022-2684
Phone (602) 841-9947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1343AZMDOptometrist
P659AAZMDOptometrist
12497TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Visionworks Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dr.gary.baron@direct.eyecare-partners.com

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1962542670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 W HEBER RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535563",
            "telephone_number": "714-394-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374101",
            "telephone_number": "623-936-0613",
            "fax_number": "623-936-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "GARY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1343",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12497TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "P659A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE NUMBER",
            "identifier": "12497TPA",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC DRUG LICENSE",
            "identifier": "P659A",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE NUMBER",
            "identifier": "1343",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.