Dean A Bauer, O.D.
Individual provider Active NPI Optometrist · River Forest, IL
NPI 1104845908 · NPPES record last updated Aug 9, 2026
Key facts
- NPI
- 1104845908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046007976 (IL)
- Practice address
- 7427 Lake St
River Forest, IL 60305-1817 - Phone
- (708) 771-3334
- Fax
- (708) 771-9614
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080501000570 | IL | Practitioner - Optometry | 7911086913 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirk Eye Center, SC | Current |
Accepting new patients | |
| River Forest Surgery Center LLC | Current | Accepting new patients | |
| River Forest Surgery Center LLC | Current | Accepting new patients | |
| Midwest Eye, P.C. | Optometrist | Current |
Accepting new patients |
| Midwest Eye, P.C. | Optometrist | Past |
Accepting new patients |
Locations
2600 Warrenville Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 560-4730
7427 Lake St
River Forest, IL 60305
Phone (708) 488-1200
Interoperability endpoints
- dean.bauer@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007976 | IL | Yes |
Addresses
Primary practice location
7427 Lake St
River Forest, IL 60305-1817
Mailing address
7427 Lake St
River Forest, IL 60305-1817
Phone (708) 771-3334
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1607956 | Other | IL | BC/BS ILLINOIS |
| 362658561 | Other | IL | FED TAX ID # |
Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.