Active NPI
Bacho Family Eye Care LLC
- Optometrist
- Cinnaminson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BACHO FAMILY EYE CARE LLC
- Practice address
- 1104 Route 130 N
Suite T
Cinnaminson, NJ 08077-3032 - Phone
- (856) 303-1506
- Fax
- (856) 499-2412
- NPI assigned
- Apr 12, 2016
- Last updated
- Apr 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan James Bacho, O.D.
- Title
- Member
- Phone
- (609) 790-7196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1104 Route 130 N
Suite T
Cinnaminson, NJ 08077-3032
Mailing address
PO Box 2362
Cinnaminson, NJ 08077-5362
Phone (856) 303-1506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2324209 | Bacho Family Eye Care LLC | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
1104 Route 130 N
Ste T
Cinnaminson, NJ 08077
Phone (856) 303-1506
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Cinnaminson, NJ
- NPI 1235296609
-
- Optometrist
- Cinnaminson, NJ
- NPI 1912579376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460419200000",
"number": "1649634049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2362",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080775362",
"telephone_number": "856-303-1506",
"fax_number": "856-499-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 ROUTE 130 N",
"address_2": "SUITE T",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773032",
"telephone_number": "856-303-1506",
"fax_number": "856-499-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACHO FAMILY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A",
"authorized_official_last_name": "BACHO",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "609-790-7196",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.