SAM BAKER OD PC
NPI 1639309701
Optometrist in St Charles, IL

NPI Status: Active since July 22, 2009

Contact Information

150 SMITH RD
ST CHARLES, IL
ZIP 60174
Phone: (630) 513-9566
Fax: (630) 513-9786

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  • Organization
  • Optometrist

About SAM BAKER OD PC

This page provides the complete NPI Profile along with additional information for Sam Baker Od Pc, a provider established in St Charles, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1639309701 assigned on July 2009. The practitioner's primary taxonomy code is 152W00000X with license number 046-009651 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sam Baker (President)

NPI
1639309701
Provider Name
SAM BAKER OD PC
Entity Type
Organization
Location Address
150 SMITH RD ST CHARLES, IL 60174
Location Phone
(630) 513-9566
Location Fax
(630) 513-9786
Mailing Address
150 SMITH RD ST CHARLES, IL 60174
Mailing Phone
(630) 513-9566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2009
Last Update Date
04-03-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
046-009651
License State
IL
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAM BAKER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(630) 513-9566

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639309701
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669601870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 0 + 1 + 8 + 7 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639309701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124133459DR. MIKYUNG YUN BAKER O.D.
Individual
Optometrist150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9566
1912002825 ROY ALAN BISHOP OD
Individual
Optometrist150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9566
1801119987MIKYUNG YUN OD PC
Organization
Optometrist150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9566
1770500050WALMART INC.
Organization
Pharmacy (Community/Retail Pharmacy)150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9560
1508948423WAL-MART STORES, INC
Organization
Technician/Technologist (Optician)150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9559
1336749167 DIPALI PATEL
Individual
Pharmacist150 SMITH RD
SAINT CHARLES, IL 60174
(630) 513-9560
1447850029 BECKY AFFINITO
Individual
Pharmacist150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9560
1144820770 AMITA RAVAL PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9560
1053912352 MANSI ROCKY SHAH
Individual
Pharmacist150 SMITH RD
ST CHARLES, IL 60174
(630) 513-9560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639309701, enumerated in the NPI registry as an "organization" on July 22, 2009

The provider is located at 150 Smith Rd St Charles, Il 60174 and the phone number is (630) 513-9566

This medical organization specializes in Optometrist with taxonomy code 152W00000X

This NPI record was last updated on July 22, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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