Robert Charles Bauman, O.D.
Individual provider Active NPI Corneal and Contact Management Optometrist · Stowe, VT
NPI 1861582264 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861582264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- License
- 030-0000317 (VT)
- Practice address
- 166 S Main St
Stowe, VT 05672-4679 - Phone
- (802) 253-6322
- Fax
- (802) 253-0842
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Lamoille Health Partners Inc |
Federally qualified health center | Corporate Director | Feb 26, 2025 |
| Lamoille Health Partners Inc |
Federally qualified health center | Corporate Director | Feb 26, 2025 |
| Lamoille Health Pediatrics |
Federally qualified health center | Corporate Officer | Feb 26, 2025 |
| Lamoille Health Partners Inc |
Federally qualified health center | Corporate Director | Feb 26, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070716000025 | VT | Practitioner - Optometry | 2466552773 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030-0000317 | VT | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Vermont LLC | Current |
Accepting new patients | |
| Myeyedr Optometry of Vermont LLC | Current | Accepting new patients | |
| Myeyedr Optometry of Vermont LLC | Current |
Accepting new patients | |
| Myeyedr Optometry of West Virginia, PLLC | Past | Accepting new patients |
Locations
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
10 Palmer Rd
Stowe, VT 05672
Phone (802) 253-6322
10 Palmer Rd
#100
Stowe, VT 05672
Phone (802) 253-6322
5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 030-0000317 | VT | Yes |
Addresses
Primary practice location
166 S Main St
Stowe, VT 05672-4679
Mailing address
166 S Main St
Stowe, VT 05672-4679
Phone (802) 253-6322
Other providers in Stowe, VT
- Kirsten A Alexander
- Christopher P Altadonna
- Robert Burns Arnot
- Backroads Physical Therapy & Wellness PLC
- Kary Ann Bennett
- Laura Kolomiec Biron
- David M. Bisbee
- Jasmine Marie Bombard
- BPS Health LLC
All providers in Stowe, VT · Corneal and Contact Management Optometrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.