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Organization
RICHARD W. BAKER, O.D.
Active
Organization
RICHARD W. BAKER, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W. BAKER O.D. (OWNER)
(925) 283-8502
Entity
Organization
Contact information
Practice address
3581 MT DIABLO BLVD, LAFAYETTE, CA 94549-3891
(925) 283-8502
Mailing address
3581 MT DIABLO BLVD, LAFAYETTE, CA 94549-3891
(925) 283-8502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4640TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033245717
PERSONAL NPI NUMBER
CA
Enumeration date
05/23/2007
Last updated
04/15/2009
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