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

Individual provider Optometrist · NPI 1679543342

Jon Bausback, OD is an Optometrist in Michigan City, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone: (219) 878-5021
Fax: (219) 878-5002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18001410A (IN)

Record details

NPI number1679543342
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESNovember 16, 2011

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