Individual
MR. GARY RONALD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H. AID DISPENSER
Contact information
Practice address
1150 W ORANGEBURG AVE, MODESTO, CA 95350-4042
(209) 526-9883
(209) 526-8681
Mailing address
1150 W ORANGEBURG AVE, MODESTO, CA 95350-4042
(209) 526-9883
(209) 526-8681
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
SL1875
CA
156FC0800X
Contact Lens Technician/Technologist
CL325
CA
237700000X
Hearing Instrument Specialist
Primary
207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#207
HEARING AID DISPENSER
CA
01
—
CL325
REGISTERED CONTACT LENS DISPENSER
CA
01
—
SL1875
REGISTERED SPECTACLE LENS DISPENSER
CA
05
—
ZZZ71978Z
—
CA
Enumeration date
03/09/2007
Last updated
11/20/2012
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