| Organization Name: | BAUER OPTICAL EXPORT CORP |
| NPI Number: | 1336285659 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ED KLOTZ (OPTICAN OWNER) |
| Mailing Address: | 45 Main St Hastings On Hudson |
| State: | NY US |
| Postal Code: | 107061640 |
| Phone Number: | 9144780550 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 008357-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |