Individual provider Active NPI

Bahar Bakhtary

  • Optometrist
  • Monterey, CA
National Provider Identifier
1376958140
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15023 Issued in CA
Practice address
228 Del Monte Ctr
Monterey, CA 93940-6130
Phone
(831) 375-7755
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15023 CA Primary

Addresses

Primary practice location

228 Del Monte Ctr
Monterey, CA 93940-6130

Mailing address

228 Del Monte Ctr
Monterey, CA 93940-6130
Phone (831) 375-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151217001496 CA Practitioner - Optometry 2668773516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15023CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald G. Seger and Jenifer E.L. Webb Optometrists Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Vantage Eye Center a Medical Corp CurrentSince Jan 4, 2016 Accepting new patients
Community Hospital of the Monterey Peninsula PastSince May 16, 2022 Accepting new patients

Locations

2 Upper Ragsdale Dr
Ste B130
Monterey, CA 93940
Phone (831) 647-3900

419 N Shoreline Blvd
Mountain View, CA 94043
Phone (650) 967-5789

622 Abbott St
Salinas, CA 93901
Phone (831) 771-3900

Interoperability endpoints

  • Direct secure messaging: bbakhtary@directaddress.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1376958140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DEL MONTE CTR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406130",
            "telephone_number": "831-375-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 DEL MONTE CTR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406130",
            "telephone_number": "831-375-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTARY",
        "first_name": "BAHAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.