Individual
DR. AUDRA L BAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3 WOODLAND RD, SUITE 120, STONEHAM, MA 02180-1702
(781) 979-0960
(781) 979-0618
Mailing address
3 WOODLAND RD, SUITE 120, STONEHAM, MA 02180-1702
(781) 979-0960
(781) 979-0618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4795
MA
152W00000X
Optometrist
OEG002123
PA
Other
Enumeration date
08/08/2008
Last updated
01/16/2014
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