Organization
LAFAYETTE VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY RICHARD BAKER OD (OWNER PRESIDENT)
(765) 430-8752
Entity
Organization
Contact information
Practice address
2300 SAGAMORE PARKWAY S, LAFAYETTE, IN 47905
(765) 471-1515
(765) 471-1453
Mailing address
2300 SAGAMORE PARKWAY S, LAFAYETTE, IN 47905
(765) 471-1515
(765) 471-1453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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