| Dr Dean A Bauer, OD | |
|
7427 Lake St, River Forest, IL 60305-1817 | |
| (708) 771-3334 | |
| (708) 771-9614 |
| Full Name | Dr Dean A Bauer |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 30 Years |
| Location | 7427 Lake St, River Forest, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104845908 | NPI | - | NPPES |
| 1607956 | Other | IL | BC/BS ILLINOIS |
| 362658561 | Other | IL | FED TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007976 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kirk Eye Center Sc | 2769527118 | 9 |
| Midwest Eye Pc | 8729236773 | 3 |
| Provider Name | Kirk Eye Center Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568563955 PECOS PAC ID: 2769527118 Enrollment ID: O20101109000595 |
| Provider Name | Midwest Eye Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790054609 PECOS PAC ID: 8729236773 Enrollment ID: O20120917000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dean A Bauer, OD 7427 Lake St, River Forest, IL 60305-1817 Ph: (708) 771-3334 | Dr Dean A Bauer, OD 7427 Lake St, River Forest, IL 60305-1817 Ph: (708) 771-3334 |
Ms. Saba F Ahmed, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7345 Lake St, River Forest, IL 60305 Phone: 708-771-0769 | |
Dr. Mani Chhibba, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7345 West Lake Street, River Forest, IL 60305 Phone: 708-771-1946 Fax: 708-771-1945 | |
Dr. Nicole Hok, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7345 Lake St, River Forest, IL 60305 Phone: 708-771-0769 |