Mr. Charles Jeffrey Baus
Optometrist Optomitrist - Corneal and Contact Lenses
72608 El Paseo Suite 6
Palm Desert
, California 92260-3373
Mr. Charles Jeffrey Baus
Optometrist Optomitrist - Corneal and Contact Lenses
72608 El Paseo Suite 6
Palm Desert
, California 92260-3373
(760) 776-9333
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Mr. Charles Jeffrey Baus
- 72608 El Paseo Suite 6
- Palm Desert, CA
- Zip : 92260-3373
- Fax : (760) 776-9333
- Phone : (760) 776-9767
Second Address
- Mr. Charles Jeffrey Baus
- 72608 El Paseo Suite 6
- Palm Desert, CA
- Zip : 92260-3373
- Fax : (760) 776-9333
- Phone : (760) 776-9767
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12183T | CA |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT12183 | CA |
National Provider Identifier
| NPI | 1215911565 |
|---|---|
| Provider Name | Mr. Charles Jeffrey Baus |
| First Address | Palm Desert, CA 92260-3373 |
| Second Address | Palm Desert, CA 92260-3373 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 25/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0313520001 | DMERC M/C REGION D (01) | CA |
| GSD004460 | MEDICAID GROUP NUMBER (01) | CA |
| SD0121830 | (05) | CA |
| U92857 | (02) | CA |
| ZZZ24908Z | MEDICARE GROUP NUMBER (01) | CA |
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.