Individual provider Active NPI

Piper Qiao Bahr, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1881057016
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33464TLG Issued in CA
Practice address
40910 Fremont Blvd
Fremont, CA 94538-4375
Phone
(626) 643-2362
NPI assigned
Apr 4, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33464TLG CA Primary

Addresses

Primary practice location

40910 Fremont Blvd
Fremont, CA 94538-4375

Mailing address

40910 Fremont Blvd
Fremont, CA 94538-4375

Other practice location 1

39500 Liberty St
Fremont, CA 94538-2211
Phone (626) 643-2362

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
I20170901001955 CA Practitioner - Optometry 2668745274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

2299 Mowry Ave
Suite 3B
Fremont, CA 94538-1621
Phone (510) 770-8040

39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

9460 N Name Uno
Suite 110
Gilroy, CA 95020-3536
Phone (408) 729-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12485CAMDChiropractor
33464CAMDGeneral Practice Dentistry
OPT33464TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Levin, O.D. a Professional Corporation Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Bay Area Community Health CurrentSince Dec 10, 2025 Accepting new patients
Bay Area Community Health CurrentSince Dec 10, 2025 Accepting new patients
Mark S Ichikawa, OD Optometrist PastSince Jul 28, 2017 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 284-4140

38069 Martha Ave
Ste 200
Fremont, CA 94536
Phone (510) 791-5272

39500 Liberty St
Fremont, CA 94538
Phone (510) 770-8133

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1066 S White Rd
Ste 170
San Jose, CA 95127

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881057016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40910 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40910 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384375",
            "telephone_number": "626-643-2362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39500 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382211",
            "country_code": "US",
            "telephone_number": "626-643-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHR",
        "first_name": "PIPER",
        "middle_name": "QIAO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33464TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.