Individual provider Active NPI

Fatima Shireen Bakht, O.D.

  • Optometrist
  • Indiana, PA
National Provider Identifier
1629320205
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002700 Issued in PA
Practice address
2334 Oakland Ave
Pearle Vision at Indiana Mall
Indiana, PA 15701-3348
Phone
(724) 349-9580
Fax
(724) 349-0611
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002700 PA Primary

Addresses

Primary practice location

2334 Oakland Ave
Pearle Vision at Indiana Mall
Indiana, PA 15701-3348

Mailing address

2334 Oakland Ave
Pearle Vision at Indiana Mall
Indiana, PA 15701-3348
Phone (724) 349-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1629320205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 OAKLAND AVE",
            "address_2": "PEARLE VISION AT INDIANA MALL",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013348",
            "telephone_number": "724-349-9580",
            "fax_number": "724-349-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 OAKLAND AVE",
            "address_2": "PEARLE VISION AT INDIANA MALL",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013348",
            "telephone_number": "724-349-9580",
            "fax_number": "724-349-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHT",
        "first_name": "FATIMA",
        "middle_name": "SHIREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.