DR. THARA ATIYYA BACCHUS O.D.
NPI 1093917460
Optometrist in Clermont, FL

Q: What is Thara Bacchus's NPI number?

The NPI number for Thara Bacchus is 1093917460. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Q: What is Thara Bacchus's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thara Bacchus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2007

1450 JOHNS LAKE ROAD, CLERMONT, FL 34711(352) 243-5652 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thara Atiyya Bacchus O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THARA ATIYYA BACCHUS O.D. (NPI 1093917460) is an individual optometrist in Clermont, Florida, licensed in Florida (OPC4111) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1093917460

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. THARA ATIYYA BACCHUSCredential: O.D.

Location Address1450 JOHNS LAKE ROADClermont, FL 34711

Mailing Address725 Tranquil TrailWinter Garden, FL 34787 · (407) 765-3069

Phone(352) 243-5652

Sole ProprietorYes

Enumeration DateJune 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093917460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC4111

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1450 JOHNS LAKE ROAD, Clermont, FL 34711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thara Bacchus's NPI number?

The NPI number for Thara Bacchus is 1093917460. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Thara Bacchus located?

Thara Bacchus practices at 1450 Johns Lake Road, Clermont, FL 34711. The listed phone number is (352) 243-5652.

What is Thara Bacchus's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Thara Bacchus accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Thara Bacchus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thara Bacchus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.