Provider Demographics
NPI:1942340237
Name:BAPTISTE, GERALDINE (OD)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:
Other - Last Name:BAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:39 BRYANT CT
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-604-5222
Mailing Address - Fax:732-214-0124
Practice Address - Street 1:FAMILY EYECARE SERVICE 400 COMMONS WAY
Practice Address - Street 2:SUITE 327
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2822
Practice Address - Country:US
Practice Address - Phone:908-704-8855
Practice Address - Fax:732-214-0124
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ4791152W00000X
NJ270A00479100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ55787Medicare UPIN