David Lennox Bacho, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00707800 Issued in NJ

Practice address

1104 Route 130 N Ste T
Cinnaminson, NJ 08077-3032

Phone

(856) 303-1506

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bacho Family Eye Care LLCGroup PAC ID 3375824220, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bacho Family Eye Care LLC

  • Optometrist
  • Cinnaminson, NJ
  • NPI 1649634049
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1912579376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ROUTE 130 N STE T",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ROUTE 130 N STE T",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773032",
            "telephone_number": "856-303-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHO",
        "first_name": "DAVID",
        "middle_name": "LENNOX",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00707800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "77293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auricle Hearing Aid Center LLC
• Victoria Avery, PA-C
• Axis I Professional Services, LLC
• Bacho Family Eye Care LLC
• Alan James Bacho, O.D.
• Mason Jean Ballinghoff
• Rima Balsara
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation

• Optometrist in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.
• 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.

Verify at the official NPI Registry.