Whalio Doctors

NPI 1457578080

T J Bauer OD PC

Organisation Optometrist Basalt, CO

Practice location

Address
850 East Valley Rd, Basalt, CO 81621-7600
Phone
(970) 927-2020
Fax
(970) 927-2010

Authorised official

Name
Timothy J Bauer
Title
Owner
Phone
97099272020

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1545 (CO)

Registry record

NPI
1457578080
Entity type
Organization
NPI issued
18 Apr 2007
Record last updated
30 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.