Individual
CHAD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 490-3937
Mailing address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 490-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003183A
IN
Other
Enumeration date
10/25/2005
Last updated
01/04/2022
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