Individual provider Active NPI

Kara Meg Bachus, O.D. , F.A.A.O.

  • Optometrist
  • Lake Mary, FL
National Provider Identifier
1174694376
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2970 Issued in FL
Practice address
4219 W Lake Mary Blvd
Lake Mary, FL 32746-2411
Phone
(407) 562-4490
NPI assigned
Nov 11, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10133TG TX
Optometrist 152W00000X OPC2970 FL Primary

Addresses

Primary practice location

4219 W Lake Mary Blvd
Lake Mary, FL 32746-2411

Mailing address

900 Lobelia Dr
Lake Mary, FL 32746-2661
Phone (407) 461-2946

Other practice location 1

11442 N Central Expy
Dallas, TX 75243-6602
Phone (214) 754-0000

Other identifiers 5

IdentifierTypeStateIssuer
20726OtherFLBCBSFL
620239000MedicaidFL
6599986OtherFLGHI
8089335OtherFLCIGNA
5271200OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080605000698 FL Practitioner - Optometry 1254401078 Reassigns benefits to 4 organizations
I20210820001399 TX Practitioner - Optometry 1254401078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10133TXMDChiropractor
10133TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince May 30, 2023 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince Apr 4, 2023 Accepting new patients
National Vision Inc Optometrist CurrentSince May 30, 2023 Accepting new patients
JW Eye Associates, PLLC Optometrist Current Accepting new patients
Global Care Optometry II PA Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Filutowski Eye Institute PA CurrentSince Aug 1, 1997 Accepting new patients
JW Eye Associates, PLLC CurrentSince Sep 1, 2021 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Filutowski Eye Institute PA CurrentSince Aug 1, 1997 Accepting new patients
National Vision, Inc. Past Accepting new patients
JW Eye Associates, PLLC Optometrist Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696

18100 NW 57th Ave
Ste 102
Hialeah, FL 33015
Phone (786) 746-9296

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537

560 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 333-7333

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533

741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

11445 Dallas Pkwy
Ste 290
Frisco, TX 75033

1220 N Town East Blvd
Ste 220
Mesquite, TX 75150
Phone (972) 613-9000

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

2380 S Goliad St
Ste 100
Rockwall, TX 75032
Phone (972) 771-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kbachus@kwec.intellechartdirect.net

Organizations & group practices 11

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": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1174694376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LOBELIA DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462661",
            "telephone_number": "407-461-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462411",
            "telephone_number": "407-562-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11442 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752436602",
            "country_code": "US",
            "telephone_number": "214-754-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHUS",
        "first_name": "KARA",
        "middle_name": "MEG",
        "credential": "O.D. ,  F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10133TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "20726",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620239000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6599986",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8089335",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5271200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.