Search › Virginia › 152W00000X
Sam Baker, OD
NPI 1992887798 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6535 Springfield Mall
Space # 11045
Springfield, VA 22150 - Phone
- (703) 971-4739
- Organisation at this address
- Daniel Poth, Od And Associates, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia