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Contact Information

GREY P BAALS, OD
712 CAMERON WOODS DR
ANGOLA, IN46703
 Phone: 260-668-3937
 Fax: 260-668-3794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GREY P BAALS · (Male)

NPI Number 1073516753
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/24/2005
Last updated 08/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 18002267
  • IN Medicaid 100225740
  • IN Other 000000092385 ANTHEM BCBS
  • IN Other P01201641 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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