Individual provider Active NPI

Rick Allen Bauer, OD

  • Optometrist
  • Sausalito, CA
National Provider Identifier
1649847187
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34959 Issued in CA
Practice address
33 Caledonia St
Sausalito, CA 94965-2116
Phone
(415) 331-0121
NPI assigned
Jun 4, 2021
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34959 CA Primary

Addresses

Primary practice location

33 Caledonia St
Sausalito, CA 94965-2116

Mailing address

1840 Grove St
San Francisco, CA 94117-1216

Other practice location 1

2508 Mission St
San Francisco, CA 94110-2512
Phone (415) 824-2374

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rickbauerod@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20211025002554 CA Practitioner - Optometry 2365830395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sausalito Optometry, Inc. Optometrist CurrentSince Oct 12, 2021 Accepting new patients
Stamper Optometry Inc Optometrist PastSince Aug 1, 2007 Accepting new patients

Locations

33 Caledonia St
Sausalito, CA 94965
Phone (415) 331-0121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1649847187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 GROVE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALEDONIA ST",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652116",
            "telephone_number": "415-331-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2508 Mission St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941102512",
            "country_code": "US",
            "telephone_number": "415-824-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "RICK",
        "middle_name": "ALLEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rickbauerod@gmail.com",
            "affiliation": "N",
            "address_1": "5077 12th Ave",
            "city": "LA Porte City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506518805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

Verify at the official NPI Registry.