Mark T Bauer
Optician
206 Putnam St Ste102
Marietta
, Ohio 45750-3042
(740) 373-7388
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Mark T Bauer
- 206 Putnam St Ste102
- Marietta, OH
- Zip : 45750-3042
- Fax : (740) 373-7388
- Phone : (740) 373-7300
Second Address
- Mark T Bauer
- 206 Putnam St Ste102
- Marietta, OH
- Zip : 45750-3042
- Fax : (740) 373-7388
- Phone : (740) 373-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | 3132S | OH |
National Provider Identifier
| NPI | 1063538981 |
|---|---|
| Provider Name | Mark T Bauer |
| First Address | Marietta, OH 45750-3042 |
| Second Address | Marietta, OH 45750-3042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.