Organization
JOHN C BAER MD LLC
Active
Other names
South Penn Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C BAER MD (OWNER PHYSICIAN)
(717) 632-6063
Entity
Organization
Contact information
Practice address
250 E WALNUT ST, HANOVER, PA 17331-2534
(717) 632-6063
(717) 632-8337
Mailing address
250 E WALNUT ST, HANOVER, PA 17331-2534
(717) 632-6063
(717) 632-8337
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OE001116
PA
152WC0802X
Corneal and Contact Management Optometrist
TA0952
MD
207W00000X
Ophthalmology Physician
D0029740
MD
207W00000X
Ophthalmology Physician
MD06890L
PA
207W00000X
Ophthalmology Physician
MD418856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01399171
HIGHMARK BLUE SHIELD
PA
05
—
10077025800004
—
PA
01
—
1007705800005
MEDICAID OPTOMETRY GROUP
PA
01
—
1308JC
CAREFIRST BCBS
MD
01
—
3190310
AETNA HMO
PA
01
—
3821719
AETNA
MD
01
—
4121977
AETNA PPO
PA
05
—
433851100
—
MD
01
—
433851101
MEDICAID OPTICS LTD LOCA
MD
01
—
50000869
CAPITAL BLUE CROSS
PA
01
—
DA3122
RAILROAD MEDICARE
PA
01
—
DA3126
RAILROAD MEDICARE
MD
01
—
JO1414870
HIGHMARK BS OPTOMETRY GRP
PA
01
—
T274
CAREFIRST BSBC NAT CAP AR
MD
Enumeration date
08/17/2006
Last updated
09/17/2020
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