Provider Demographics
NPI:1700040268
Name:BAKER, VALERIE LYN (OD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:LYN
Last Name:BAKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1505 E RIO GRANDE ST
Mailing Address - Street 2:STE150
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-7396
Mailing Address - Country:US
Mailing Address - Phone:361-485-9421
Mailing Address - Fax:361-485-9422
Practice Address - Street 1:1505 E RIO GRANDE ST
Practice Address - Street 2:STE150
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-7396
Practice Address - Country:US
Practice Address - Phone:361-485-9421
Practice Address - Fax:361-485-9422
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7280T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist