John C Baer MD LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OE001116 Issued in PA

Legal business name

JOHN C BAER MD LLC

Practice address

250 E Walnut St
Hanover, PA 17331-2534

Phone

(717) 632-6063

Fax

(717) 632-8337

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John C Baer, MD

Title

Owner Physician

Phone

(717) 632-6063

Specialties & licenses 5

Addresses

Other identifiers 16

Other names 1

• South Penn Eye Care Doing business as

Electronic endpoints 2

Locations

Practitioners 4

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

• Nicole M Forney, O.D.

  • Optometrist
  • Wyomissing, PA
  • NPI 1053316687
  NPD (past)
• Howard R Hartzell III, OD

  • Optometrist
  • York, PA
  • NPI 1437128683
  NPD (past)
• Matthew J Link, O.D.

  • Optometrist
  • York, PA
  • NPI 1003888496
  NPD (past)
• Chryssa Marie Bender, O.D.

  • Optometrist
  • Mount Airy, MD
  • NPI 1356428171
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1508979808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E WALNUT ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312534",
            "telephone_number": "717-632-6063",
            "fax_number": "717-632-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E WALNUT ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312534",
            "telephone_number": "717-632-6063",
            "fax_number": "717-632-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C BAER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "717-632-6063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OE001116",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA0952",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD418856",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD06890L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0029740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "01399171",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3821719",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000869",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3122",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BSBC NAT CAP AR",
            "identifier": "T274",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3126",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS OPTOMETRY GRP",
            "identifier": "JO1414870",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "T274",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "1308JC",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4121977",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3190310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID  OPTICS LTD LOCA",
            "identifier": "433851101",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10077025800004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OPTOMETRY GROUP",
            "identifier": "1007705800005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433851100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPC",
            "identifier": "50000869",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaer@spec.integrityemrdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 E Walnut St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esauble@spec.integrityemrdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 E Walnut St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Penn Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Penn Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwen Marie Jensen, CRNA
• Seongho John Jeong, MD
• Jmdlad Inc.
• Jmdlad Inc.
• Joan Werleman DDS PC
• Chris Edward Johns, RPH
• Katherine Edna Johnson, CNM
• Sarah Johnson, LPC, ATR-BC
• Terri Lynne Johnson, PA C
• Christine N Jones, DPM

• Corneal and Contact Management Optometrist in Hanover, PA
• Providers in Hanover, PA by specialty
• Corneal and Contact Management Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.