Organization
JERRY L BAKER, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L BAKER OD (OWNER)
(315) 337-3277
Entity
Organization
Contact information
Practice address
1300 FLOYD AVE, SUITE 1, ROME, NY 13440-4600
(315) 337-3277
(315) 336-8160
Mailing address
1300 FLOYD AVE, SUITE 1, ROME, NY 13440-4600
(315) 337-3277
(315) 336-8160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV-003219
NY
Other
Enumeration date
01/02/2007
Last updated
04/22/2008
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