Mark T Bauer, L.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

3132S Issued in OH

Practice address

206 Putnam St
Ste102
Marietta, OH 45750-3042

Phone

(740) 373-7300

Fax

(740) 373-7388

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063538981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PUTNAM ST",
            "address_2": "STE102",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503042",
            "telephone_number": "740-373-7300",
            "fax_number": "740-373-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PUTNAM ST",
            "address_2": "STE102",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503042",
            "telephone_number": "740-373-7300",
            "fax_number": "740-373-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "L.D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "3132S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thara Basavaiah, M.D.
• Alexandria Nikole Bastin, OTD, OTR/L
• Julie Amber Bates
• Tremayne A Battle
• Bauer Vision Center
• Cade Anthony Baughman
• Tye Zerin Bauserman
• Baymark Health Services of Ohio, Inc.
• John Arthur Bays, OD
• Rebecca Beabout

• Optician in Marietta, OH
• Providers in Marietta, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.