Organization
ALLAN BAKER INC
Active
Other names
Korrect Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN A BAKER LDO (CHIEF OPERATING OFFICER)
(502) 897-1656
Entity
Organization
Contact information
Practice address
4036 DUTCHMANS LANE, LOUISVILLE, KY 40207-4704
(502) 895-2020
(502) 657-4979
Mailing address
3801 BISHOP LN, LOUISVILLE, KY 40218-2905
(502) 895-2020
(502) 657-4979
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
KY27
KY
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210920
CVILLE
—
01
—
000000213527
DUPONT ANTHEM BCBS
—
01
—
000000213814
DIXIE
—
01
—
00648
VEN # AVESIS
—
01
—
14602
CVILLE SPECTERA
—
01
—
16739
DUPONT SPECTERA
—
01
—
16740
DIXIE SPECTERA
—
01
—
22285
PIN # AVESIS
—
01
—
40676
DAVIS VISION
—
05
—
52900271
—
KY
01
—
9120628792
DUPONT PASSPORT BLOCK
—
01
—
K0247795
DUPONT CLARITY VISION
—
01
—
K1411506
DIXIE CLARITY VISION
—
01
—
K1411522
CVILLE CLARITY VISION
—
01
—
KY0027
DUPONT EYE MED
—
Enumeration date
08/23/2006
Last updated
05/21/2021
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