Misty Lynn Bauder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5662 Issued in OH

Practice address

114 N State St
Westerville, OH 43081-1426

Phone

(614) 882-0851

Fax

(614) 882-2595

NPI assigned

Oct 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Misty Lynn Stevens Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uptown Eye Care LLC

  • Optometrist
  • Westerville, OH
  • NPI 1992150767
  Medicare reassignment NPD Authorized official
• David W Wineland

  dba I Care Vision Center of Circleville

  • Optometrist
  • Circleville, OH
  • NPI 1215092804
  NPD (past)
• John a Parrish O D Inc

  • Corneal and Contact Management Optometrist
  • Westerville, OH
  • NPI 1174716096
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598845364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811426",
            "telephone_number": "614-882-0851",
            "fax_number": "614-882-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811426",
            "telephone_number": "614-882-0851",
            "fax_number": "614-882-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDER",
        "first_name": "MISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC OPTOMETRIST",
            "identifier": "5662",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC CERTIFICATE #",
            "identifier": "T2576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "STEVENS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bradi Batt
• Allison Battaglia, PH.D
• Heather Anne Battles, MD
• Jonda Bauch, REGISTERED NURSE
• Jarrett Lewis Bauder, PHARMD, RPH
• Jeanne Elizabeth Bauer, CNM
• Michael Keith Bauer, DC
• Jay A Bauerle, MD
• Patricia Rose Baumann
• Melissa Baumbach, RDN

• Optometrist in Westerville, OH
• Providers in Westerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.