Organization
HOLDEN OPTICAL CO. INC.
Active
Organization
HOLDEN OPTICAL CO. INC.
Active
Other names
Holden Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R BAKER CDO & OCULARIST (PRESIDENT)
(209) 526-9883
Entity
Organization
Contact information
Practice address
1150 W ORANGEBURG AVE, MODESTO, CA 95350-4042
(209) 526-9883
(209) 526-8681
Mailing address
1150 W ORANGEBURG AVE, P.O. BOX 3807, MODESTO, CA 95350-4042
(209) 526-9883
(209) 526-8681
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
00488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ33731Z
—
CA
Enumeration date
02/03/2006
Last updated
08/22/2020
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