Individual
MR. JOHN J BAAB SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
165 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1127
(570) 474-9082
(570) 474-9760
Mailing address
165 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1127
(570) 474-9082
(570) 474-9760
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
09951
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112112
EYEMED
—
01
—
200505
BELBS
—
01
—
393134
NVA
—
Enumeration date
01/25/2007
Last updated
07/08/2007
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