NPI 1902906027 · live from the CMS NPI Registry
Tad D. Baker, O.D.
Optometrist in Wichita, KS. National Provider Identifier 1902906027, active.
NPI record
| NPI | 1902906027 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1223 N Rock Rd, Bldg C, Wichita, KS 67206 |
| Practice phone | 316-634-2020 |
| Enumerated | September 25, 2006 |
| Last updated | March 30, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1502-3 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.