T J Bauer OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1545 Issued in CO

Legal business name

T J BAUER OD PC

Practice address

850 East Valley Rd
Basalt, CO 81621-7600

Phone

(970) 927-2020

Fax

(970) 927-2010

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Bauer, OD

Title

Owner

Phone

97099272020

Specialties & licenses 1

Addresses

Other names 1

• Bauer Eye Care PC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Kaye Barthram, O.D.

  • Optometrist
  • Aspen, CO
  • NPI 1568423705
  NPD (past)
• Eli S Hall, OD

  • Optometrist
  • Aspen, CO
  • NPI 1063640522
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1457578080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 EAST VALLEY RD",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816217600",
            "telephone_number": "970-927-2020",
            "fax_number": "970-927-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EAST VALLEY RD",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816217600",
            "telephone_number": "970-927-2020",
            "fax_number": "970-927-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T J BAUER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "97099272020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bauer Eye Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Standley, MA, LPCC
• Steadman Clinic Professional LLC
• Karen Chrisholm Stevenson, PHYSICAL THERAPIST
• Carly Ann Stillman, PA-C
• Heidi C Stoeckl, L.AC.
• Kevin Tadus
• Maria Lynn Tafuri, LMFT
• Scott J. Tesoro, D.C.
• David Allen Tetley, RN
• Thomas P. Moore, M.D., PH.D., P.C.

• All providers in Basalt, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.