Active NPI
Lauren Bacharach, OD
- Optometrist
- Wall Township, NJ
National Provider Identifier
1932124252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6010
- Practice address
- 1722 New Bedford Rd
Wall Township, NJ 07719-3867 - Phone
- (732) 974-1400
- Fax
- (732) 974-2121
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6010 | NJ | Primary |
Addresses
Primary practice location
1722 New Bedford Rd
Wall Township, NJ 07719-3867
Mailing address
1722 New Bedford Rd
Wall Township, NJ 07719-3867
Phone (732) 974-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6010 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bacharach Eye Care LLC | Optometrist | Current | Accepting new patients |
| Monmouth County Primary Eye Care LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Lakewood, NJ
- NPI 1588381974
-
- Optometrist
- Wall Township, NJ
- NPI 1851133565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1932124252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 NEW BEDFORD RD",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077193867",
"telephone_number": "732-974-1400",
"fax_number": "732-974-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 NEW BEDFORD RD",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077193867",
"telephone_number": "732-974-1400",
"fax_number": "732-974-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHARACH",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "6010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.