ADELINE BAUER OD NPI 1891103818

NPI Information

  • NPI: 1891103818
  • Provider Name: ADELINE BAUER, OD
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4130 BRETON RD SE STE A
    KENTWOOD, MI
    ZIP 49512
  • Phone: (616) 341-1713

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NPI Details

Adeline Bauer, OD is a corneal and contact management optometrist in Kentwood, MI with 11 years of experience. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. Adeline Bauer, OD NPI is 1891103818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4130 BRETON RD SE STE A
KENTWOOD, MI
ZIP 49512-808
Phone: (616) 341-1713
Fax: (616) 341-1714

The NPI 1891103818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/23/2014 and was last updated on 12/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist4901004841MICHIGANNo
2152WC0802XOptometristCorneal and Contact Management4901004841MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900E476020OTHERMICHIGANBLUE CROSS
21871510859MEDICAIDMICHIGAN
30784610001OTHERMICHIGANMEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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