BAIRD OPTICAL PC
NPI 1013206275
Optometrist in Chubbuck, ID

Active since March 28, 2011
4240 YELLOWSTONE AVE, CHUBBUCK, ID 83202(208) 238-2020(208) 238-2069 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 11, 2017 (2 updates tracked since 2017).

  • Organization
  • Optometrist

About BAIRD OPTICAL PC

This page provides the complete NPI Profile along with additional information for Baird Optical Pc, a provider established in Chubbuck, Idaho operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1013206275 assigned on March 2011. The practitioner's primary taxonomy code is 152W00000X with license number ODP967 (ID). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Baird O.d. (Ceo)

NPI
1013206275 Verify this NPI
Provider Name
BAIRD OPTICAL PC
Entity Type
Organization
Location Address
4240 YELLOWSTONE AVE CHUBBUCK, ID 83202
Location Phone
(208) 238-2020
Location Fax
(208) 238-2069
Mailing Address
966 OLD GLORY WAY CHUBBUCK, ID 83202
Mailing Phone
(208) 709-0540
Mailing Fax
(208) 238-2069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2011
Last Update Date
07-21-2022
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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.
ODP967
License State
ID
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

MICHAEL BAIRD O.D.

Authorized Official Title
CEO
Authorized Official Phone
(208) 709-0540

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Pharmacist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacist
4240 YELLOWSTONE AVE
POCATELLO, ID 83202
Pharmacist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Optometrist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Optometrist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Optometrist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacist
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacy (Community/Retail Pharmacy)
4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Eyewear Supplier
4240 YELLOWSTONE AVE
POCATELLO, ID 83202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013206275, enumerated as an "organization" on March 28, 2011.

The provider is located at 4240 YELLOWSTONE AVE CHUBBUCK, ID 83202 and the phone number is (208) 238-2020.

Optometrist with taxonomy code 152W00000X.