Individual provider Active NPI

Constantinos John Bacas, OD

  • Optometrist
  • Mendham, NJ
National Provider Identifier
1063136489
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00717200 Issued in NJ
Practice address
106B E Main St
Mendham, NJ 07945-1544
Phone
(862) 222-3800
Fax
(862) 832-3713
NPI assigned
Sep 29, 2022
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00717200 NJ Primary

Addresses

Primary practice location

106B E Main St
Mendham, NJ 07945-1544

Mailing address

106B E Main St
Mendham, NJ 07945-1544
Phone (862) 222-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013003580 NJ Practitioner - Optometry 2264808351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Eye AssociatesGroup PAC ID 3476045154, 2 clinicians

Practice addresses (Care Compare)

106 B E Main St
Mendham, NJ 07945-1544
Phone (862) 222-3800

Merit-based Incentive Payment System (MIPS)

Final score
89.95 of 100Reported as group
Quality
93.26
Promoting interoperability
100
Improvement activities
40
Cost
73.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00717200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Eye Associates Optometrist CurrentSince Nov 29, 2024 Accepting new patients
Agg Optical Inc. Optometrist PastSince Oct 1, 2023 Accepting new patients

Locations

106B E Main St
Mendham, NJ 07945
Phone (862) 222-3800

Interoperability endpoints

  • Direct secure messaging: cbacas@moe.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1063136489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106B E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451544",
            "telephone_number": "862-222-3800",
            "fax_number": "862-832-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106B E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451544",
            "telephone_number": "862-222-3800",
            "fax_number": "862-832-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACAS",
        "first_name": "CONSTANTINOS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00717200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.