NPI 1972987394 · live from the CMS NPI Registry
Anna Makenzie Baker, O.D.
Optometrist in Tifton, GA. National Provider Identifier 1972987394, active.
NPI record
| NPI | 1972987394 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 211 Love Ave, Tifton, GA 31794 |
| Practice phone | 229-382-9751 |
| Mailing address | 1323 4th St Sw, Moultrie, GA 31768 |
| Enumerated | July 15, 2015 |
| Last updated | July 15, 2015 |
| Sole proprietor | Yes |
| Other names | Anna Smith |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT002889 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.