Organization
JERRY L BAKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L BAKER OD (OWNER)
(315) 363-6690
Entity
Organization
Contact information
Practice address
581 MAIN ST, ONEIDA, NY 13421-2452
(315) 363-6690
(315) 361-4942
Mailing address
581 MAIN ST, ONEIDA, NY 13421-2452
(315) 363-6690
(315) 361-4942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT003219
NY
Other
Enumeration date
01/18/2008
Last updated
11/30/2012
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