Provider Demographics
NPI:1326261066
Name:BAGGETTA, FRANCIS JOSEPH
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:BAGGETTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N BELLINGER ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1816
Mailing Address - Country:US
Mailing Address - Phone:315-866-4796
Mailing Address - Fax:
Practice Address - Street 1:302 N BELLINGER ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-1816
Practice Address - Country:US
Practice Address - Phone:315-866-4796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005241 1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
0404520001OtherPROVIDER CLINIC NUMBER
NY5873496OtherNY STATE ED DEPT REG NUMB
0404520001OtherPROVIDER CLINIC NUMBER