Individual
SCOTT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
339 CROSSROADS BLVD, COLD SPRING, KY 41042
(859) 441-9464
Mailing address
7241 W KINGS AVE, PEORIA, AZ 85382-4948
(937) 371-4116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1831DT
KY
152W00000X
Optometrist
Primary
5839
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4116
LAST 4 NUMBERS OF CELL PHONE
AZ
Enumeration date
07/15/2009
Last updated
03/19/2017
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