Provider Demographics
NPI:1851430128
Name:BAIM, RICHARD NORMAN (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NORMAN
Last Name:BAIM
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2500 N SILVERBELL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-7066
Mailing Address - Country:US
Mailing Address - Phone:520-884-9600
Mailing Address - Fax:520-623-8148
Practice Address - Street 1:2500 N SILVERBELL RD STE 180
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-7066
Practice Address - Country:US
Practice Address - Phone:520-884-9600
Practice Address - Fax:520-623-8148
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ554152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT41364Medicare ID - Type Unspecified