Jerry L Baker, Od

NPI #1962569962 in Rome, New York

Provider Information

NPI Number: 1962569962
Entity Type: Organization
Organization Name: Jerry L Baker, Od
Primary Specialty: Optometrist
Enumeration Date: Jan 2, 2007
Last Updated: Apr 22, 2008

Practice Location

Address: 1300 FLOYD AVE
Address 2: SUITE 1
City: Rome
State: New York
ZIP Code: 13440-4600
Phone: (315) 337-3277

Authorized Official

Name: DR. JERRY L BAKER, OD
Title: OWNER
Phone: (315) 337-3277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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