NPI 1235102633 · live from the CMS NPI Registry
Andrea Joy Baker, OD
Optometrist in Wichita, KS. National Provider Identifier 1235102633, active.
NPI record
| NPI | 1235102633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 746 N Maize Rd, Wichita, KS 67212 |
| Practice phone | 316-721-8877 |
| Enumerated | February 8, 2006 |
| Last updated | May 2, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1521 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.