National Provider Identifier Database

KEN BAEK
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

KEN BAEK
10701 MONTGOMERY BLVD NE STE A
ALBUQUERQUE, NM87111-3800
Phone: 505-828-0828
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KEN BAEK

NPI Number 1144061714
Credentials
Entity Individual
Enumeration date 06/05/2024
Last updated 09/11/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • CO License #: OPT.0004065
  • NM License #: OPT-2024-0010
  • VT License #: 030.0134003
Hospital affiliation n/a

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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