Individual
THOMAS EDWARD BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1518 N PERRY ST, OTTAWA, OH 45875-1167
(419) 523-5670
(419) 523-4025
Mailing address
1518 N PERRY ST, OTTAWA, OH 45875-1167
(419) 523-5670
(419) 523-4025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3214T346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410046675
RAILROAD MEDICARE
—
Enumeration date
11/09/2006
Last updated
06/10/2010
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