Bauer, Dean A

Bauer, Dean A is an individual health care provider with primary practice located at 7427 Lake St , River Forest IL 60305-1817. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bauer, Dean A can be contacted via phone (708) 771-3334.

Contact Information

Primary practice address
7427 Lake St River Forest IL 60305-1817
Phone: (708) 771-3334
Fax: (708) 771-9614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007976 Illinois

Profile Details

NPI number 1104845908
LBN Legal business name Bauer, Dean A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 16th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104845908 NPPES
Illinois Other 1607956 BC/BS ILLINOIS
Illinois Other 362658561 BC/BS ILLINOIS

Popular Providers