JON BAUSBACK O.D.
NPI 1679543342
Optometrist in Michigan City, IN

Active since January 25, 2006
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360(219) 878-5021(219) 878-5002 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon Bausback O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON BAUSBACK O.D. (NPI 1679543342) is an individual optometrist in Michigan City, Indiana, licensed in Indiana (18001410A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1679543342
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJON BAUSBACKCredential: O.D.
Location Address1225 E COOLSPRING AVEMichigan City, IN 46360-6312
Mailing Address1040 Sierra Dr, Ste 400Greenwood, IN 46143-7240 · (317) 528-4248 · Fax (317) 865-8314
Fax(219) 878-5002
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateNovember 16, 2011
NPI 1679543342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18001410A
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1225 E COOLSPRING AVE, Michigan City, IN 46360

Other Identifiers 4

Medicare UPINT69299
Medicare PIN565740EIN
Medicare ID-Type Unspecified217230KKIN
Medicaid200112890IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Family Medicine
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Pediatrics
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Ophthalmology
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Pediatrics
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Allergy & Immunology
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Optometrist
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Family Medicine
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Bausback's NPI number?

The NPI number for Jon Bausback is 1679543342. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Jon Bausback located?

Jon Bausback practices at 1225 E Coolspring Ave, Michigan City, IN 46360. The listed phone number is (219) 878-5021.

What is Jon Bausback's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jon Bausback was last updated on November 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.