Gary Ronald Baker in Modesto - Contact Lens

Gary Ronald Baker - NPI 1093847733

Gary Ronald Baker is a Contact Lens in Modesto, California. Gary Ronald Baker practices all healthcare services and medical treatments related to Contact Lens. The NPI Number for Gary Ronald Baker is 1093847733. The last update date is 2012-11-20.

Gary Ronald Baker's current location address is 1150 W Orangeburg Ave, Modesto, California. You can contact this provider via phone number 2095269883 and fax number 2095268681. The mailing address for Gary Ronald Baker is 1150 W Orangeburg Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Ronald Baker
Address 1150 W Orangeburg Ave, Modesto, California
Phone Number 2095269883
Fax Number 2095268681
Sole Proprietor N
Credentials H. AID DIS

NPI Number Detail

NPI Number 1093847733
Provider Enumeration Date 2007-03-09
Last Updated Date 2012-11-20

Provider Mailing Address Detail

Address 1150 W Orangeburg Ave
City Modesto
State California (CA)
Post Code 953504042
Phone Number 2095269883
Fax Number 2095268681

Provider's Primary Taxonomy Detail

Speciality Contact Lens
Taxonomy 156Fc0800X
Licence No CL325
Definition:
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SL1875 CA REGISTERED SPECTACLE LENS DISP
ZZZ71978Z CA --
#207 CA HEARING AID DISPENSER
CL325 CA REGISTERED CONTACT LENS DISPEN

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FAQs about Gary Ronald Baker

What is the unique identifier code issued to Gary Ronald Baker by the Centers for Medicare & Medicaid Services?

The Gary Ronald Baker has been assigned the NPI (National Provider Identifier) 1093847733. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Gary Ronald Baker located?

The Gary Ronald Baker is located at 1150 W Orangeburg Ave, Modesto, CA 953504042.

What is the Gary Ronald Baker's area of specialization and corresponding taxonomy classification?

The Gary Ronald Baker's specialty field is Contact Lens, and it falls under the taxonomy code 156Fc0800X, which categorizes healthcare providers based on their specialties.

When did the Gary Ronald Baker receive its 1093847733?

The Gary Ronald Baker was issued its 1093847733 on 2007-03-09, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Gary Ronald Baker most recently updated or revised?

The information pertaining to Gary Ronald Baker, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-20.

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