Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adeline Bauer, OD

Individual provider Optometrist · NPI 1891103818

Adeline Bauer, OD is an Optometry in Kentwood, Michigan. Qualified in 2014, 12 years ago. Practices with Cherry Street Services Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4130 Breton Rd SE Ste A
Kentwood, MI 49512-3808
Phone: (616) 341-1713
Fax: (616) 341-1714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 — (616) 949-2001

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence 4901004841 (MI)
Optometrist Taxonomy 152W00000X · Licence 4901004841 (MI)

Record details

NPI number1891103818
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing address4130 Breton Rd Se Ste A, Kentwood, MI 49512-3808

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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