NPI 1669583563

R. Wayne Baker, OD

Practitioner Optometrist Conyers, GA

Practice location

Address: 1455a Old McDonough Rd.Se, Conyers, GA 30094-5979
Phone: (770) 922-4900
Fax: (770) 922-1563
Mailing address: 1455 Old McDonough Hwy SE STE a, Conyers, GA 30094-5979

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 000746T (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1669583563
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 30 Dec 2014

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.