MEDICARE: DR. JANET K BAKER GUIDRY 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
1	152W00000X	Optometrist	3441-TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487667945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET K BAKER GUIDRY OD

Provider Business Mailing Address
First Line	:	21195 KUYKENDAHL RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3307
Country	:	US
Telephone Number	:	832-843-6369
Fax Number	:	832-843-7280

Provider Business Practice Location Address
First Line	:	3429 N TWIN CITY HWY
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-2102
Country	:	US
Telephone Number	:	409-963-0173
Fax Number	:	409-962-8405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	01/23/2020

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