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Contact Information

ADELINE BAUER, OD
4130 BRETON RD SE STE A
KENTWOOD, MI49512-3808
 Phone: 616-341-1713
 Fax: 616-341-1714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADELINE BAUER · (Female)

NPI Number 1891103818
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/23/2014
Last updated 12/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901004841
  • MI Medicaid 1871510859
  • MI Other 900E476020 BLUE CROSS
  • MI Other 0784610001 MEDICARE NSC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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