IndividualActive
Jon Bausback, O.D.
NPI 1679543342 · Optometrist · Michigan City, IN
Jon Bausback, O.D. is a Optometrist provider in Michigan City, IN (NPI 1679543342).
Provider details
- NPI number
- 1679543342
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 18001410A (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone: (219) 878-5021
Fax: (219) 878-5002
Street-level locationGet directions
Mailing address
1040 Sierra Dr
Greenwood, IN 46143-7240
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2011-11-16
Frequently asked questions
- What is Jon Bausback's NPI number?
- Jon Bausback's National Provider Identifier (NPI) is 1679543342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jon Bausback's specialty?
- Jon Bausback is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jon Bausback located?
- Jon Bausback's practice location on file with NPPES is 1225 E Coolspring Ave, Michigan City, IN 46360-6312.
- What is Jon Bausback's phone number?
- The practice phone number listed in the NPPES registry for Jon Bausback is (219) 878-5021.
- Is Jon Bausback's NPI active?
- Yes — Jon Bausback's NPI (1679543342) is active in the NPPES registry as of the last update on 2011-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.