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MRS. WENDY D BAGGETT LDO
Optician >> Technician/Technologist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1508987074
Individual Registrant:MRS. WENDY D BAGGETT LDO
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
514 S PALM AVE PALATKA, FL 32177-4148 US
Tel: 386-328-8387 Fax: --
Tel: 386-328-8387 Fax: --
Contact information for business:
130 LATESHA TER PALATKA, FL 32177-9388 US
Tel: 386-325-0209 Fax: --
Tel: 386-325-0209 Fax: --
Registration Information:
NPI: 1508987074
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 156FX1800X | Eye and Vision Services Providers Technician/Technologist Optician | FL | DO4734 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
