Anna Makenzie Baker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002889 Issued in GA

Practice address

211 Love Ave
Tifton, GA 31794-4453

Phone

(229) 382-9751

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Makenzie Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• City Optical Inc

  • Optician
  • Tifton, GA
  • NPI 1588788418
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1972987394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 4TH ST SW",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685818",
            "telephone_number": "229-873-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LOVE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944453",
            "telephone_number": "229-382-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ANNA",
        "middle_name": "MAKENZIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SMITH",
            "middle_name": "MAKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Molly Bailey
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• Amber Barker
• Roger Darnell Barlow
• Barnes Drug Stores of Valdosta Inc (Barnes Healthcare Services)

• Optometrist in Tifton, GA
• Providers in Tifton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.