T J Bauer Od PC
Optometrist in Basalt, CO. Organization (NPI-2).
NPI number1457578080
StatusActive
Last updated in NPPESOct 30, 2014
Details
- NPI
- 1457578080
- Entity type
- Organization (NPI-2)
- Legal business name
- T J Bauer Od PC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2007
- Last updated
- Oct 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1545 | CO | Yes |
Other names
- Bauer Eye Care PC (Doing Business As)
Practice location
850 East Valley RdBasalt, CO 81621-7600
Phone 970-927-2020 · Fax 970-927-2010
Mailing address
850 East Valley RdBasalt, CO 81621-7600
Phone 970-927-2020 · Fax 970-927-2010
Authorized official
Timothy J Bauer
Owner
97099272020
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