# JOHN C BAER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Penn Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508979808
- **Authorized official:** DR. JOHN C BAER MD (OWNER PHYSICIAN)
- **Authorized official phone:** (717) 632-6063

## Contact information

- **Practice address:** 250 E WALNUT ST, HANOVER, PA 17331-2534
- **Practice address phone:** (717) 632-6063
- **Practice address fax:** (717) 632-8337
- **Mailing address:** 250 E WALNUT ST, HANOVER, PA 17331-2534
- **Mailing address phone:** (717) 632-6063
- **Mailing address fax:** (717) 632-8337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OE001116 | PA | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | TA0952 | MD | — |
| 207W00000X | Ophthalmology Physician | D0029740 | MD | — |
| 207W00000X | Ophthalmology Physician | MD06890L | PA | — |
| 207W00000X | Ophthalmology Physician | MD418856 | PA | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 09/17/2020