Baker, Stephen Marc
Baker, Stephen Marc is an sole proprietor health care provider with primary practice located at 608 Pearl St , Watertown NY 13601-2194. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Baker, Stephen Marc can be contacted via phone (315) 788-2020.Contact Information
Primary practice address
608 Pearl St
Watertown NY 13601-2194
Phone: (315) 788-2020
Fax: (315) 755-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | TUV-006508 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV-006508 | New York |
Profile Details
| NPI number | 1780778217 |
|---|---|
| LBN Legal business name | Baker, Stephen Marc |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1780778217 | NPPES |
| New York | Other | P00381537 | PALMETTO GBA-RR MC |
| New York | MEDICAID | 02399159 | PALMETTO GBA-RR MC |
| New York | Other | P00364925 | PALMETTO GBA-RR MC |
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