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Organization

LAFAYETTE VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY BAKER OD (OWNER)
(765) 471-1515
Entity
Organization

Contact information

Practice address
2300 SAGAMORE PKWY S, LAFAYETTE, IN 47905-5114
(765) 471-1515
Mailing address
2300 SAGAMORE PKWY S, LAFAYETTE, IN 47905-5114

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IN

Other

Enumeration date
07/16/2008
Last updated
07/21/2022
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