Organization
BAUER VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T BAUER (OPTICIAN)
(740) 373-7300
Entity
Organization
Contact information
Practice address
206 PUTNAM ST, MARIETTA, OH 45750-3042
(740) 373-7300
Mailing address
206 PUTNAM ST, MARIETTA, OH 45750-3042
(740) 373-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
3132-S
OH
Other
Enumeration date
06/13/2008
Last updated
07/11/2008
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