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Organization

BAIRD OPTICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BAIRD O.D. (CEO)
(208) 709-0540
Entity
Organization

Contact information

Practice address
4240 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2420
(208) 238-2020
(208) 238-2069
Mailing address
966 OLD GLORY WAY, CHUBBUCK, ID 83202-1779
(208) 709-0540
(208) 238-2069

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP967
ID

Other

Enumeration date
03/28/2011
Last updated
07/21/2022
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