Organization
BAKER EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WHITE (OFFICE MANAGER)
(225) 664-2189
Entity
Organization
Contact information
Practice address
12880 PLANK RD, BAKER, LA 70714
(225) 775-3994
(225) 775-2190
Mailing address
12880 PLANK RD, BAKER, LA 70714
(225) 775-3994
(225) 775-2190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107760
—
LA
Enumeration date
05/03/2007
Last updated
04/21/2009
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