NPI 1003076530

Stephanie Marie Baxter, OD

Practitioner Optometrist Mishawaka, IN

Practice location

Address: 230 E Day Rd STE 100, Mishawaka, IN 46545-3408
Phone: (574) 271-3939
Fax: (574) 271-3941

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003890A (IN)

Other Optometrist providers in Indiana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5793 (OH)

Registry record

NPI: 1003076530
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2008
Record last updated: 17 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.