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Individual
DR. JEFFREY THOMAS BAKER
Active
Individual
DR. JEFFREY THOMAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3.003316
CT
152W00000X
Optometrist
Primary
OEG003916
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3.003316
LICENSE
CT
01
—
OEG00396
LICENSE
PA
Enumeration date
07/15/2022
Last updated
11/19/2025
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