Chad R Baker (NPI# 1932199585, PAC ID# 6103840236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1932199585 |
| PAC ID by PECOS | 6103840236 |
| Professional Enrollment ID | I20070823000060 |
| Full Name | Chad R Baker |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Address |
6663 Edwardsville Crossing Dr B Clarkson Eyecare Edwardsville IL 62025-2704 |
| Phone Number | 6186592320 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012292147 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6663 Edwardsville Crossing Dr B, Clarkson Eyecare, Edwardsville, IL 62025-2704 | 6186592320 | CLARKSON OPTOMETRY ILLINOIS PC |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy Miller | Optometry | Clarkson Optometry Illinois PC | 2645 N Illinois St, Clarkson Eyecare, Swansea, IL 62226-2302 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Brett Sobieralski | Optometry | Clarkson Optometry Illinois PC | 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Jennifer Brave Rafati | Optometry | Clarkson Optometry Illinois PC | 2525 Green Mount Commons Dr, Suite 290, Belleville, IL 62221-6735 |
| Thomas J Johnson | Optometry | Clarkson Optometry Illinois PC | 1819 B Homer Adams Pkwy, Alton, IL 62002-5606 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Keith R Hamm | Optometry | Clarkson Optometry Illinois PC | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 |
| Jason Richard Diehl | Optometry | Clarkson Optometry Illinois PC | 1025 Columbia Ctr, Columbia, IL 62236-2546 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Street Address |
6663 EDWARDSVILLE CROSSING DR B CLARKSON EYECARE |
| City | EDWARDSVILLE |
| State | IL |
| Zip | 62025-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Treloar | Clinical Social Worker | 1046 Florida St, Edwardsville, IL 62025-1420 | |
| Kelli Suzanne Fultz | Clinical Social Worker | 222 H St, Edwardsville, IL 62025-1528 | |
| Robert P Devine | Chiropractic | 211 Hillsboro Ave, Edwardsville, IL 62025-1623 | |
| Nathan A Vuagniaux | Chiropractic | 309 Hillsboro Ave, Edwardsville, IL 62025-1727 | |
| Rachel V Tompkins | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Alexander R James | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Curtis R Baird | Chiropractic | 239 S Main St, Edwardsville, IL 62025-1921 | |
| Emily J Colvin | Chiropractic | Pain Relief Center of Vandalia Inc | 200 S Buchanan St, Edwardsville, IL 62025-2109 |
| Lois Ann Buchta Ladd | Chiropractic | 403 Wolf St, Edwardsville, IL 62025-2138 | |
| Natalie J Carr | Optometry | 2100 Troy Rd, Edwardsville, IL 62025-2595 | |
| Find all physicians in zip 62025 | |||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
| Specialty | OPTOMETRY |
| City + Specialty | EDWARDSVILLE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.