NPIMap

Organization Active NPI

Bruce E. Bachelder O.D.,LLC

  • Optometrist
  • Lexington, OH
National Provider Identifier
1063758712
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3012-T185 Issued in OH
Legal business name
BRUCE E. BACHELDER O.D.,LLC
Practice address
35 Plymouth St
Lexington, OH 44904-1123
Phone
(419) 884-0500
NPI assigned
Dec 28, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Dr. Bruce Eugene BachelderNPI 1619071248
Title
Owner
Phone
(419) 884-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3012-T185 OH Primary

Addresses

Primary practice location

35 Plymouth St
Lexington, OH 44904-1123

Mailing address

35 Plymouth St
Lexington, OH 44904-1123

National Provider Directory

National Provider Directory

Locations

35 Plymouth St
Mansfield, OH 44904
Phone (419) 884-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1063758712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PLYMOUTH ST",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449041123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PLYMOUTH ST",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449041123",
            "telephone_number": "419-884-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. BACHELDER O.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "BACHELDER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-884-0500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3012-T185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.