Organization
TIMOTHY J BAUER DR OF OPTOMETRY PROFESSIONAL CORPORATION CARBONDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J. BAUER O.D. (OPTOMETRIST)
(970) 963-8286
Entity
Organization
Contact information
Practice address
59 N 4TH ST, CARBONDALE, CO 81623-2011
(970) 963-8286
(970) 963-8124
Mailing address
59 N 4TH ST, CARBONDALE, CO 81623-2011
(970) 963-8286
(970) 963-8124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1545
CO
Other
Enumeration date
05/18/2007
Last updated
05/25/2012
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