Timothy J Bauer, OD Valid NPI
Individual provider · Optometrist · Basalt, CO
- NPI
- 1215014204
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1545 (CO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-01
- Last updated
- 2015-04-26
Practice location
850 E Valley Rd
Basalt, CO 81621-7600
(970) 925-2020