Individual
DR. ROY EDWARD BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11 JASON ST, ARLINGTON, MA 02476-6410
(178) 164-8342
Mailing address
11 JASON ST, ARLINGTON, MA 02476-6410
(178) 164-8342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2615
MA
152WC0802X
Corneal and Contact Management Optometrist
Primary
2615
MA
152WP0200X
Pediatric Optometrist
2615
MA
152WV0400X
Vision Therapy Optometrist
2615
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329827
—
MA
01
—
BAW15030
BL CROSS AND BL SHIELD
MA
Enumeration date
01/12/2006
Last updated
09/11/2025
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