Individual provider Active NPI

Scott Bauer, OD

  • Optometrist
  • Boalsburg, PA
National Provider Identifier
1841939113
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003889 Issued in PA
Practice address
104 W Main St
Boalsburg, PA 16827-1347
Phone
(814) 466-2020
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 OEG003889 PA Primary

Addresses

Primary practice location

104 W Main St
Boalsburg, PA 16827-1347

Mailing address

104 W Main St
Boalsburg, PA 16827-1347
Phone (814) 466-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220826000422 PA Practitioner - Optometry 8224417654 Reassigns benefits to 2 organizations
I20240119003184 MD Practitioner - Optometry 8224417654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Hanlen and Associates, LLCGroup PAC ID 4486796067, 2 clinicians
Brande Saad Group-BedfordGroup PAC ID 7810935202, 3 clinicians
Lifetime Vision CareGroup PAC ID 1254783038, 4 clinicians

Practice addresses (Care Compare)

104 W Main St
Boalsburg, PA 16827-1347
Phone (814) 466-2020

111 Fairview St
Everett, PA 15537-6337
Phone (814) 623-2020

2 Frederick St
Cumberland, MD 21502-2652
Phone (301) 777-7777

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as group
Quality
76.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Vision Care Optometrist CurrentSince Nov 9, 2023 Accepting new patients
Brande Saad Group-Bedford Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Dr. Hanlen and Associates, LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

2 Frederick St
Cumberland, MD 21502
Phone (301) 722-4000

104 W Main St
Boalsburg, PA 16827
Phone (814) 466-2020

111 Fairview St
Everett, PA 15537
Phone (814) 623-2020

Organizations & group practices 3

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1841939113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271347",
            "telephone_number": "814-466-2020",
            "fax_number": "814-808-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271347",
            "telephone_number": "814-466-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "104 W Main St",
            "city": "Boalsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168271347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boalsburg, PA

Sources for this page

Verify at the official NPI Registry.