Individual provider Active NPI

Lauren Bacharach, OD

  • Optometrist
  • Wall Township, NJ
National Provider Identifier
1932124252
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6010 Issued in NJ
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

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6010NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bacharach Eye Care LLC Optometrist CurrentSince Oct 30, 2022 Accepting new patients
Monmouth County Primary Eye Care LLC Optometrist PastSince Jun 16, 2024 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.

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.

Verify at the official NPI Registry.