Provider Demographics
NPI:1689432064
Name:BAUMER, JOHN II (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:BAUMER
Suffix:II
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:JACK
Other - Middle Name:
Other - Last Name:BAUMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1872 DEEPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4661
Mailing Address - Country:US
Mailing Address - Phone:330-604-9692
Mailing Address - Fax:
Practice Address - Street 1:1945 CEI DR
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-5664
Practice Address - Country:US
Practice Address - Phone:513-984-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program