Organization Active NPI

John C Baer MD LLC

Doing business as South Penn Eye Care

  • Corneal and Contact Management Optometrist
  • Hanover, PA
National Provider Identifier
1508979808
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OE001116 Issued in PA
Legal business name
JOHN C BAER MD LLC
Doing business as
South Penn Eye Care
Practice address
250 E Walnut St
Hanover, PA 17331-2534
Phone
(717) 632-6063
Fax
(717) 632-8337
NPI assigned
Aug 17, 2006
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X OE001116 PA Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X TA0952 MD
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD418856 PA
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD06890L PA
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X D0029740 MD

Addresses

Primary practice location

250 E Walnut St
Hanover, PA 17331-2534

Mailing address

250 E Walnut St
Hanover, PA 17331-2534
Phone (717) 632-6063

Other names 1

  • South Penn Eye Care Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbaer@spec.integrityemrdirect.com Health Information Exchange (HIE)
Direct Messaging Address esauble@spec.integrityemrdirect.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

332 140 Village Rd
Westminster, MD 21157
Phone (410) 848-3360

332 140 Village Rd
Ste 1
Westminster, MD 21157
Phone (410) 848-3860

910 Washington Rd
Ste G
Westminster, MD 21157
Phone (410) 848-3807

250 E Walnut St
Hanover, PA 17331
Phone (717) 632-6063

Interoperability endpoints

  • Direct secure messaging: esauble@spec.integrityemrdirect.com
  • Direct secure messaging: jbaer@spec.integrityemrdirect.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • 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.