Provider Demographics
NPI:1992790869
Name:BAIKAL, ALISON A (OD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:A
Last Name:BAIKAL
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2139 SILAS DEANE HWY
Mailing Address - Street 2:VISUAL PERCEPTIONS
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2336
Mailing Address - Country:US
Mailing Address - Phone:860-529-9740
Mailing Address - Fax:860-563-8483
Practice Address - Street 1:2139 SILAS DEANE HWY
Practice Address - Street 2:VISUAL PERCEPTIONS
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2336
Practice Address - Country:US
Practice Address - Phone:860-529-9740
Practice Address - Fax:860-563-8483
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT2626152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU99108Medicare UPIN