Individual provider Active NPI

Hetel Bhakta, O.D.

  • Optometrist
  • Lake Worth, FL
National Provider Identifier
1831332519
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4297 Issued in FL
Practice address
8755 Hypoluxo Rd Ste 2
Lake Worth, FL 33467-5316
Phone
(561) 965-7600
Fax
(561) 965-2821
NPI assigned
Apr 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4297 FL Primary

Addresses

Primary practice location

8755 Hypoluxo Rd Ste 2
Lake Worth, FL 33467-5316

Mailing address

8755 Hypoluxo Rd Ste 2
Lake Worth, FL 33467-5316
Phone (561) 965-7600

Other identifiers 1

IdentifierTypeStateIssuer
002749100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090626000198 FL Practitioner - Optometry 2062563356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Bhakta Optometric, IncGroup PAC ID 4688863483, 2 clinicians

Practice addresses (Care Compare)

8755 Hypoluxo Rd
Suite 2
Lake Worth, FL 33467-5316
Phone (561) 965-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bhakta Optometric, Inc Optometrist CurrentSince Sep 12, 2010 Accepting new patients
South Florida Eye Associates, PA Past Accepting new patients
Aran Eye Associates PA Past Accepting new patients

Locations

8755 Hypoluxo Rd
Ste 2
Lake Worth, FL 33467
Phone (561) 965-7600

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": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1831332519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 HYPOLUXO RD STE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675316",
            "telephone_number": "561-965-7600",
            "fax_number": "561-965-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 HYPOLUXO RD STE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675316",
            "telephone_number": "561-965-7600",
            "fax_number": "561-965-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "HETEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-11",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002749100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.