Individual provider Active NPI

Suzanne L Bachman, O.D.

  • Optometrist
  • Hickory Creek, TX
National Provider Identifier
1144250879
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05935-TG Issued in TX
Practice address
3960 FM 2181
Hickory Creek, TX 75065-4248
Phone
(940) 497-4971
Fax
(940) 497-4981
NPI assigned
Jul 5, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05935-TG TX Primary

Addresses

Primary practice location

3960 FM 2181
Hickory Creek, TX 75065-4248

Mailing address

3960 FM 2181 Ste 100
Hickory Creek, TX 75065-4248
Phone (940) 497-4971

Other identifiers 1

IdentifierTypeStateIssuer
214203603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080506000148 TX Practitioner - Optometry 6608955414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3960 FM
2181 Suite 100
Hickory Creek, TX 75065-4248
Phone (940) 497-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5935TXMDChiropractor
05935-TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bachman Family Eye Care PA Optometrist CurrentSince Jun 17, 2017 Accepting new patients
Eye Consultants of Texas PA Past Accepting new patients

Locations

3960 FM 2181
Ste 100
Hickory Creek, TX 75065
Phone (817) 410-2030

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1144250879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 FM 2181 STE 100",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750654248",
            "telephone_number": "940-497-4971",
            "fax_number": "940-497-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 FM 2181",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750654248",
            "telephone_number": "940-497-4971",
            "fax_number": "940-497-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05935-TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214203603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Creek, TX

Sources for this page

Verify at the official NPI Registry.