Organization
JOSEPH BAKOWSKI OPTOMETRIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BAKOWSKI OD (OWNER/OD)
(817) 596-7007
Entity
Organization
Contact information
Practice address
1836 S MAIN ST, STE 101, WEATHERFORD, TX 76086-5506
(817) 596-7007
(817) 596-4468
Mailing address
1836 S MAIN ST, STE 101, WEATHERFORD, TX 76086-5506
(817) 596-7007
(817) 596-4468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4426TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891730131
NPI TYPE I
TX
Enumeration date
03/15/2017
Last updated
03/15/2017
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