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Mr. Gary Ronald Baker, HAIDDISPENSER
Contact Lens Technician/Technologist in Modesto, California
NPI 1093847733

Gary Ronald Baker is a Contact Lens Technician/Technologist based in Modesto, CA and is specialized in Contact Lens. Gary Ronald Baker practices in Modesto, CA and has the professional credentials of HAIDDISPENSER. The NPI Number for Gary Ronald Baker is 1093847733 and holds a License No. 207 (California).

The current practice location address for Gary Ronald Baker is 1150 W Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-526-9883 and via fax at 209-526-8681. You can also correspond with Gary Ronald Baker through the mailing address at 1150 W ORANGEBURG AVE, MODESTO, CA - 95350-4042 (mailing address contact number: 209-526-9883).

Location: 1150 W Orangeburg Ave, Modesto, CA, 95350-4042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093847733
Provider Name
Gary Ronald Baker
Credential
HAIDDISPENSER
Provider Entity Type
Individual
Gender
Male
Address
1150 W Orangeburg Ave, Modesto, CA, 95350-4042
Phone Number
209-526-9883
Fax Number
209-526-8681
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SL1875 01 CA REGISTERED SPECTACLE LENS DISPENSER
ZZZ71978Z 05 CA
#207 01 CA HEARING AID DISPENSER
CL325 01 CA REGISTERED CONTACT LENS DISPENSER
institution
Provider Business Practice Location Address Details
Address
1150 W Orangeburg Ave
City
Modesto
State
California
Zip
95350-4042
Phone Number
209-526-9883
Fax Number
209-526-8681
person
Provider Business Mailing Address Details
Address
1150 W Orangeburg Ave
City
Modesto
State
California
Zip
95350-4042
Phone Number
209-526-9883
Fax Number
209-526-8681
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
CL325 (California)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
SL1875 (California)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 3
Type
Speech, Language and Hearing Service Providers
Classification
Hearing Instrument Specialist
Speciality
-
Taxonomy
237700000X
License No.
207 (California)
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
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