DR. ROBERT BALDWIN O.D.
NPI 1265710529
Optometrist in Snellville, GA

Q: What is Robert Baldwin's NPI number?

The NPI number for Robert Baldwin is 1265710529. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Q: What is Robert Baldwin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Baldwin was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2011PECOS Enrolled

2427 HERITAGE VLG STE 4, SNELLVILLE, GA 30078(770) 978-2020(770) 978-1750 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Robert Baldwin O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT BALDWIN O.D. (NPI 1265710529) is an individual optometrist in Snellville, Georgia, licensed in Georgia (OPT002656) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mcdonough.

NPPES Registry Identity

NPI1265710529

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ROBERT BALDWINCredential: O.D.

Location Address2427 HERITAGE VLG STE 4Snellville, GA 30078-2699

Mailing Address1862 Jonesboro RdMcdonough, GA 30253-5960

Phone(770) 978-2020

Fax(770) 978-1750

Sole ProprietorNo

Enumeration DateAugust 3, 2011

Last NPPES UpdateAugust 2, 2018

✔ NPI 1265710529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in GA · OPT002656

Definition

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.

2427 HERITAGE VLG STE 4, Snellville, GA 30078

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Secondary Practice Location 1

Location 11862 Jonesboro RdMcDonough, GA 30253-5960 · Phone (678) 432-1584

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Baldwin O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Robert Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarkson Optometry Georgia Inc

17 mi

Optometrist

8400 HOLCOMB BRIDGE RD, SUITE 440
Alpharetta, GA 30022

Reassigned Medicare billing, Georgia enrollment
40 clinicians in this Medicare group

NPI 1184802670 (636) 200-4393

Oconee Vision Group, LLC

33 mi

Optometrist

2281 HOG MOUNTAIN RD, SUITE C
Watkinsville, GA 30677

Reassigned Medicare billing, Georgia enrollment
5 clinicians in this Medicare group

NPI 1780049221 (706) 769-4404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY SCOT HACKLEMAN O.D.

Optometrist

2427 HERITAGE VLG STE 4
SNELLVILLE, GA 30078

Gwinnett County (770) 978-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Baldwin's NPI number?

The NPI number for Robert Baldwin is 1265710529. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Robert Baldwin located?

Robert Baldwin practices at 2427 Heritage Vlg Ste 4, Snellville, GA 30078. The listed phone number is (770) 978-2020.

What is Robert Baldwin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert Baldwin enrolled in Medicare?

Yes. Robert Baldwin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Baldwin reassigns Medicare benefits to 2 organizations: Clarkson Optometry Georgia Inc (Alpharetta, GA) and Oconee Vision Group, LLC (Watkinsville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Baldwin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Robert Baldwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Baldwin was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.