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NPI Code Detail

MEDICARE: DR. DONALD ROSS BAKER OD

MEDICARE: DR. DONALD ROSS BAKER OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2943059934UT

General Provider Information

NPI Number : 1457438061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD ROSS BAKER OD
Provider Business Mailing Address
First Line : 5957 W 10620 N
Second Line :
City : HIGHLAND
State : UT
Zip : 84003-9592
Country : US
Telephone Number : 801-372-6694
Fax Number :
Provider Business Practice Location Address
First Line : 660 S 200 E STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3846
Country : US
Telephone Number : 801-359-2256
Fax Number : 801-364-4392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/02/2024

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Directions to “ DR. DONALD ROSS BAKER OD” Practice Location

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