Individual
DR. NATHANIEL RHETT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
223 MAIN ST, VINCENNES, IN 47591-1208
(812) 882-4809
(812) 882-4589
Mailing address
223 MAIN ST, VINCENNES, IN 47591-1208
(812) 882-4809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002986B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083976
BLUE CROSS
IN
01
—
0327640001
DMERC
IN
05
—
200256480
—
IN
01
—
351433409050
CARESOURCE/MEDICAID
IN
01
—
410044457
MEDICARE RAILROAD
IN
01
—
622531
TRIGON
IN
Enumeration date
04/25/2006
Last updated
04/21/2022
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