NPIMap

Organization Active NPI

Brian S. Baird OD PC

Doing business as Eye Center Care

  • Optometrist
  • Plymouth, IN
National Provider Identifier
1972638328
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002433A Issued in IN
Legal business name
BRIAN S. BAIRD OD PC
Doing business as
Eye Center Care
Practice address
12921 Plymouth Goshen TRL
Plymouth, IN 46563-7916
Phone
(574) 936-3212
Fax
(574) 936-3481
NPI assigned
Feb 23, 2007
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Brian S Baird, ODNPI 1235149311
Title
Owner
Phone
(574) 936-3212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002433A IN Primary

Addresses

Primary practice location

12921 Plymouth Goshen TRL
Plymouth, IN 46563-7916

Mailing address

12921 Plymouth Goshen TRL
Plymouth, IN 46563-7916
Phone (574) 936-3212

Other names 1

  • Eye Center Care Doing business as

National Provider Directory

National Provider Directory

Locations

12921 Plymouth Goshen Trl
Plymouth, IN 46563
Phone (574) 936-3212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1972638328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 PLYMOUTH GOSHEN TRL",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637916",
            "telephone_number": "574-936-3212",
            "fax_number": "574-936-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 PLYMOUTH GOSHEN TRL",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637916",
            "telephone_number": "574-936-3212",
            "fax_number": "574-936-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S. BAIRD OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-936-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002433A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.