Organization
ROBERT E. BALDWIN
Active
Other names
Baldwin Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. BALDWIN (OWNER)
(435) 752-6110
Entity
Organization
Contact information
Practice address
1097 N MAIN ST, LOGAN, UT 84341-2215
(435) 752-6110
(435) 752-1935
Mailing address
1097 N MAIN ST, LOGAN, UT 84341-2215
(435) 752-6110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
112533-9934
UT
332H00000X
Eyewear Supplier
08-00959
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529085657021
—
UT
05
—
990002180002
—
UT
Enumeration date
04/25/2008
Last updated
11/18/2008
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