| Bradley R Baker, OD | |
|
516 Jay St, Colusa, CA 95932-2436 | |
| (530) 458-2020 | |
| (530) 458-8977 |
| Full Name | Bradley R Baker |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 516 Jay St, Colusa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154376283 | NPI | - | NPPES |
| ZZZ07805Z | Other | CA | BS GROUP |
| GSD004280 | Other | CA | MEDICAL GRP # |
| SD0071250 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7125T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley R Baker, OD 516 Jay St, Colusa, CA 95932-2436 Ph: (530) 458-2020 | Bradley R Baker, OD 516 Jay St, Colusa, CA 95932-2436 Ph: (530) 458-2020 |
Colusa Eyecare Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 516 Jay St, Colusa, CA 95932 Phone: 530-458-2020 Fax: 530-458-8977 | |
Parveen Kaur Bains, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 516 Jay St, Colusa, CA 95932 Phone: 530-458-2020 |