Heidi Baxter, O.D. Valid NPI

Individual provider · Optometrist · West Covina, CA

NPI

1295166296

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

14803TLG (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-12-02

Last updated

2021-10-12