Jon Bausback is a Michigan City, Indiana based male Optometrist who is specialized in Optometry. Active license number of Jon Bausback is 18001410A for Optometry in Indiana. Jon Bausback examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jon Bausback speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
1225 E Coolspring Ave, Michigan City, Indiana, 46360-6312
Phone:
219-878-5021
Fax:
219-878-5002
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1679543342
NPI Enumeration Date:
25 Jan, 2006
NPI Last Update On:
16 Nov, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jon Bausback are as mentioned below.
License Number
Specialization
State
Status
18001410A
Optometry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jon Bausback such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200112890
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1040 Sierra Dr, Ste 400 Greenwood, Indiana
Zip:
46143-7240
Phone Number:
317-528-4248
Fax Number:
317-865-8314
Patients can reach Jon Bausback at 1225 E Coolspring Ave, Michigan City, Indiana or can call to book an appointment on 219-878-5021. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.