Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sam Baker, OD

Individual provider Optometrist · NPI 1992887798

Dr. Sam Baker, OD is an Optometry in Springfield, Virginia. Graduated from Illinois College of Optometry at Chicago in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Trained at
Illinois College of Optometry at Chicago
Licensed in
VA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6535 Springfield Mall Spc # 11045
Springfield, VA 22150-1714
Phone: (703) 971-4739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002372 (VA)

Record details

NPI number1992887798
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 20, 2006
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021
Mailing address9127 Cricklewood Ct, Vienna, VA 22182-1702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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