Theresa Loscalzo Bacaris, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004799-1 Issued in NY

Practice address

1360 Montauk Hwy
Ste 2E
Mastic, NY 11950-2929

Phone

(631) 281-2474

Fax

(631) 281-2476

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in NY, CT2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826

  NY, Optometrist

  Medicare reassignment NPD
• Sound Vision Care, Inc.

  • Eyewear Supplier
  • Riverhead, NY
  • NPI 1487809406

  NY, Optometrist

  Medicare reassignment NPD
• Apex Optometric Care PC

  • Optometrist
  • Hartford, CT
  • NPI 1346705027

  CT, Optometrist

  Medicare reassignment NPD
• Raffaele Inc

  • Eyewear Supplier
  • Hamden, CT
  • NPI 1346365145

  CT

  Medicare reassignment NPD
• Waterford Optometric PC

  • Optometrist
  • Waterford, CT
  • NPI 1154174589

  CT, Optometrist

  Medicare reassignment NPD
• 200 West Optics, LLC

  • Optometrist
  • Brewster, NY
  • NPI 1831770890

  NY

  Medicare reassignment
• Myeyedr Optometry of Connecticut, LLC

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194

  CT

  Medicare reassignment
• 200 West Optics, LLC

  • Optometrist
  • New York, NY
  • NPI 1205787520
  NPD
• 200 West Optics, LLC

  • Optometrist
  • Somers, NY
  • NPI 1225600968
  NPD
• SVC of Mastic LLC

  • Optometrist
  • Mastic, NY
  • NPI 1831708353
  NPD
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1720162431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTAUK HWY",
            "address_2": "STE 2E",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502929",
            "telephone_number": "631-281-2474",
            "fax_number": "631-281-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTAUK HWY",
            "address_2": "STE 2E",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502929",
            "telephone_number": "631-281-2474",
            "fax_number": "631-281-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACARIS",
        "first_name": "THERESA",
        "middle_name": "LOSCALZO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004799-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "26993",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "34416",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "201972162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "2136929",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP BENEFITS",
            "identifier": "201972162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE",
            "identifier": "201972162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6599195",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "921377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY0047",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "198546P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISLAND GROUP ADMINISTATOR",
            "identifier": "201972162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3548978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A. Arma
• Ashley Arnold
• Michael Dean Ash Sr., LCSWR
• Tara Astromovich, LPN
• Zaheer Ud Din Babar
• Katherine Vincenza Bacon, MS, RDN
• Annam Hudda Baig
• Hyacinth Bailey
• Teneisha Bailey, LCSW
• Tricianna S Bailey, LPN, RN

• All providers in Mastic, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.