MEDICARE: RICHARD N BAKER O.D.

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	2300TG	TX

General Provider Information

NPI Number	:	1750345658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD N BAKER O.D.

Provider Business Mailing Address
First Line	:	3900 ESSEX LN
Second Line	:	SUITE 101
City	:	HOUSTON
State	:	TX
Zip	:	77027-5133
Country	:	US
Telephone Number	:	713-626-5544
Fax Number	:	713-626-7744

Provider Business Practice Location Address
First Line	:	3900 ESSEX LN
Second Line	:	SUITE 101
City	:	HOUSTON
State	:	TX
Zip	:	77027-5133
Country	:	US
Telephone Number	:	713-626-5544
Fax Number	:	713-626-7744

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	10/19/2012

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