Active NPIIndividual providerSole proprietor

Dr. Audra L Bake, OD

Optometrist in Stoneham, Massachusetts

NPI Number1700032927
Practice location
3 Woodland RD, Suite 120, Stoneham, MA 02180-1702
Fax
781-979-0618
Last updated
January 16, 2014

Audra L Bake is an Optometrist based in Stoneham, MA. Audra L Bake practices in Stoneham, MA and has the professional credentials of OD. The NPI Number for Audra L Bake is 1700032927 and holds a License No. OEG002123 (PA). The current practice location address for Audra L Bake is 3 Woodland RD, Suite 120, Stoneham, MA 02180-1702 and can be reached out via phone at 781-979-0960 and via fax at 781-979-0618.

Provider Profile Details

NPI Number
1700032927
Provider Name
Audra L Bake
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
3 Woodland RD, Suite 120, Stoneham, MA 02180-1702
Phone Number
781-979-0960
Fax Number
781-979-0618
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Other Names
-- Audra L Rowse, OD (Former Name)
Provider Enumeration Date
August 8, 2008
Last Update Date
January 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Woodland RD
Suite 120
Stoneham, MA 02180-1702
Zip
02180-1702
Phone Number
781-979-0960
Fax Number
781-979-0618
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
3 Woodland RD
Suite 120
Stoneham, MA 02180-1702
City
Stoneham
State
MA
Zip
02180-1702
Phone Number
781-979-0960
Fax Number
781-979-0618

License Information

License Number (1)
OEG002123
License State (1)
PA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
4795
License State (2)
MA
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Audra L Bake, OD?

The NPI number of Dr. Audra L Bake, OD is 1700032927. It was assigned on August 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Audra L Bake, OD?

Dr. Audra L Bake, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PA under license number OEG002123.

Where does Dr. Audra L Bake, OD practice?

The practice location is 3 Woodland RD, Suite 120, Stoneham, MA 02180-1702. The office can be reached at 781-979-0960 (phone) or 781-979-0618 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700032927 directly on the NPPES registry website.

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