Jerry L Baker

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT003219 Issued in NY

Legal business name

JERRY L BAKER

Practice address

581 Main St
Oneida, NY 13421-2452

Phone

(315) 363-6690

Fax

(315) 361-4942

NPI assigned

Jan 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry L Baker, OD

Title

Owner

Phone

(315) 363-6690

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1003092107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212452",
            "telephone_number": "315-363-6690",
            "fax_number": "315-361-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212452",
            "telephone_number": "315-363-6690",
            "fax_number": "315-361-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-363-6690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Louis Pfeiff
• Jessica M Jeannotte, RN
• Andrew Jennings
• Jessica Jeong, P.A.
• Jerome E Brislin OD PC
• John J. Costello, Jr, DO, PLLC
• April Anne Johnson, LPN
• Jessica L Johnson, LPN
• Keith Ewing Johnson, MD
• Amy L Jones, RN

• Optometrist in Oneida, NY
• Providers in Oneida, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.