Dr Rick D Bauer

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DR RICK D BAUER

Practice address

109 W Main St
Loogootee, IN 47553-1506

Phone

(812) 295-3163

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick D BauerNPI 1760478879

Title

Owner

Phone

(812) 295-3163

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Rick D Bauer, O.D.

  • Optometrist
  • Loogootee, IN
  • NPI 1760478879
  NPD (past) Authorized official

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1093984155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475530296",
            "telephone_number": "812-295-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531506",
            "telephone_number": "812-295-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICK D BAUER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-295-3163"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaconess Memorial Medical Center, Inc (Loogootee Family Medicine)
• Divine Chiropractic LLC
• Jordan R Divine
• Heather Michelle Dooley, CCC-SLP
• Tracy Lynn Dorsett
• Karla Jo Eckerle, RPH
• Krystal Dawn Eckert, OTR
• Jessica Lynn Elkins, MA, CF-SLP
• Lindsey Brooke Gingerich, OTR
• Good Samaritan Family Health Center, Inc (Family Health Center)

• Clinic/Center in Loogootee, IN
• Providers in Loogootee, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.