Organization
STEPHEN M BAKER O D, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MARC BAKER OD (PRESIDENT)
(315) 788-2020
Entity
Organization
Contact information
Practice address
608 PEARL ST, WATERTOWN, NY 13601-2194
(315) 788-2020
(315) 755-3937
Mailing address
608 PEARL ST, WATERTOWN, NY 13601-2194
(315) 788-2020
(315) 755-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006508
NY
Other
Enumeration date
04/03/2017
Last updated
08/01/2017
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