NPIMap

Organization Active NPI

Timothy J Bauer Dr of Optometry Professional Corporation Carbondale

  • Optometrist
  • Carbondale, CO
National Provider Identifier
1669680229
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1545 Issued in CO
Legal business name
TIMOTHY J BAUER DR OF OPTOMETRY PROFESSIONAL CORPORATION CARBONDALE
Practice address
59 N 4TH St
Carbondale, CO 81623-2011
Phone
(970) 963-8286
Fax
(970) 963-8124
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Timothy J. Bauer, O.D.
Title
Optometrist
Phone
(970) 963-8286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1545 CO Primary

Addresses

Primary practice location

59 N 4TH St
Carbondale, CO 81623-2011

Mailing address

59 N 4TH St
Carbondale, CO 81623-2011
Phone (970) 963-8286

National Provider Directory

National Provider Directory

Locations

326 Highway 133
Ste 190
Carbondale, CO 81623
Phone (970) 963-8286

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1669680229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 N 4TH ST",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232011",
            "telephone_number": "970-963-8286",
            "fax_number": "970-963-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 N 4TH ST",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232011",
            "telephone_number": "970-963-8286",
            "fax_number": "970-963-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J BAUER DR OF OPTOMETRY PROFESSIONAL CORPORATION CARBONDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "970-963-8286",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.