Mauri Donn Bauer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1470-ATI Issued in OR

Practice address

5901 SW Macadam Ave
Ste 105
Portland, OR 97239-3622

Phone

(503) 222-2990

NPI assigned

Dec 9, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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

• Macadam Eye Care, P.C.

  • Optometrist
  • Portland, OR
  • NPI 1558811778
  NPD
• Pacific University

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1912377193
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316007669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW MACADAM AVE",
            "address_2": "STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393622",
            "telephone_number": "503-222-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW MACADAM AVE",
            "address_2": "STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393622",
            "telephone_number": "503-222-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MAURI",
        "middle_name": "DONN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1470-ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Grace Bauer
• Jason Robert Bauer
• Jeremy Paul Bauer, MD
• John E Bauer, M.D.
• Lisa M Bauer, PA-C
• Maxine Bauer, M.D.
• Paige Bauer, BEHAVIOR TECHNICIAN
• Suzanne L. Bauer, PT
• Russell Bauerlein
• Cari Baugh, PHARMD

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• 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.