Active NPI
Bauer Vision Center
- Eyewear Supplier
- Marietta, OH
National Provider Identifier
1386804243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 3132-S
- Legal business name
- BAUER VISION CENTER
- Practice address
- 206 Putnam St
Marietta, OH 45750-3042 - Phone
- (740) 373-7300
- NPI assigned
- Jun 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark T Bauer
- Title
- Optician
- Phone
- (740) 373-7300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | 3132-S | OH | Primary |
Addresses
Primary practice location
206 Putnam St
Marietta, OH 45750-3042
Mailing address
206 Putnam St
Marietta, OH 45750-3042
Phone (740) 373-7300
National Provider Directory
National Provider DirectoryLocations
206 Putnam St
Marietta, OH 45750
Phone (740) 373-7300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1386804243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 PUTNAM ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503042",
"telephone_number": "740-373-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 PUTNAM ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503042",
"telephone_number": "740-373-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAUER VISION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-13",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "BAUER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "740-373-7300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OH",
"license": "3132-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.