Organization
COLUSA EYECARE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R BAKER O.D. (OPTOMETRIST)
(530) 458-2020
Entity
Organization
Contact information
Practice address
516 JAY ST, COLUSA, CA 95932-2436
(530) 458-2020
(530) 458-8977
Mailing address
516 JAY ST, COLUSA, CA 95932-2436
(530) 458-2020
(530) 458-8977
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7125T
CA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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