Individual provider Active NPI

Ashley Nicole Bauman, OD

  • Optometrist
  • Manistee, MI
National Provider Identifier
1053988832
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005545 Issued in MI
Practice address
1352 E Parkdale Ave
Manistee, MI 49660-9318
Phone
(231) 723-8363
NPI assigned
Jun 9, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005545 MI Primary

Addresses

Primary practice location

1352 E Parkdale Ave
Manistee, MI 49660-9318

Mailing address

5959 Lawndale St
Ludington, MI 49431-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616001168 MI Practitioner - Optometry 5698175487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew S Riemer DO PCGroup PAC ID 8729058839, 8 clinicians

Practice addresses (Care Compare)

1352 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 723-8363

Merit-based Incentive Payment System (MIPS)

Final score
88.57 of 100Reported as group
Quality
93.11
Improvement activities
40
Cost
71.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew S Riemer Dopc Optometrist CurrentSince Jun 21, 2021 Accepting new patients
Andrew S Riemer DO PC Optometrist CurrentSince Jun 21, 2021 Accepting new patients

Locations

1775 S Mitchell St
Cadillac, MI 49601
Phone (231) 775-1248

5959 Lawndale St
Ludington, MI 49431
Phone (231) 845-6261

1352 E Parkdale Ave
Manistee, MI 49660
Phone (231) 723-8363

115 W Upton Ave
Reed City, MI 49677
Phone (231) 832-3133

4140 W Shelby Rd
Shelby, MI 49455
Phone (231) 259-0121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1053988832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 LAWNDALE ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609318",
            "telephone_number": "231-723-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.