Baker, Roy Edward
Baker, Roy Edward is an individual health care provider with primary practice located at 11 Jason St , Arlington MA 02476-6410. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Baker, Roy Edward can be contacted via phone (178) 164-8342.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2615 | Massachusetts |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2615 | Massachusetts |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2615 | Massachusetts |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2615 | Massachusetts |
Profile Details
| NPI number | 1376522946 |
|---|---|
| LBN Legal business name | Baker, Roy Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376522946 | NPPES |
| Massachusetts | MEDICAID | 0329827 | |
| Massachusetts | Other | BAW15030 |
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