Jon Bausback, O.D.
NPI #1679543342 in Michigan City, Indiana
Provider Information
- NPI Number
- 1679543342
- Entity Type
- Individual
- Name
- Jon Bausback, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Nov 16, 2011
Practice Location
- Address
- 1225 E COOLSPRING AVE
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-6312
- Phone
- (219) 878-5021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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