DR. PETER G BAKO OD
NPI 1629590450
Optometrist in Texarkana, TX

Q: What is Peter Bako's NPI number?

The NPI number for Peter Bako is 1629590450. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Q: What is Peter Bako'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 Peter Bako was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 13, 2017PECOS EnrolledAccepts Medicare Assignment

2703 RICHMOND RD, TEXARKANA, TX 75503(903) 838-0783(903) 831-6145 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2019, Jul 13, 2017 (2 updates tracked since 2017).

On this page

About Dr. Peter G Bako Od NPPES

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

DR. PETER G BAKO OD (NPI 1629590450) is an individual optometrist in Texarkana, Texas, licensed in Texas (9213T) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Idabel, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629590450

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. PETER G BAKOCredential: OD

Location Address2703 RICHMOND RDTexarkana, TX 75503-2328

Mailing Address2703 Richmond RdTexarkana, TX 75503-2328 · (903) 838-0783 · Fax (903) 831-6145

Phone(903) 838-0783

Fax(903) 831-6145

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 13, 2017

Last NPPES UpdateJune 3, 20192 updates tracked since enumeration

✔ NPI 1629590450 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 TX · 9213T

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.

2703 RICHMOND RD, Texarkana, TX 75503

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Secondary Practice Location 1

Location 11425 E Lincoln RdIdabel, OK 74745-7345 · Phone (580) 286-6000 · Fax (580) 286-6015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter G Bako Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325319304

PECOS Enrollment IDI20170809003676

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Peter Bako reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med Southwest, PLLC

Same address

Optometrist

2703 RICHMOND RD
Texarkana, TX 75503

Reassigned Medicare billing, Texas, Arkansas and Oklahoma enrollments
Also billed through NPI 1417413717 (Arkansas), NPI 1336605633 (Oklahoma)
396 clinicians in this Medicare group

NPI 1871059170 (903) 838-0783

Phillips Vision LLC

0.8 mi

Optometrist

4109 MOORES LN
Texarkana, TX 75503

Reassigned Medicare billing, Oklahoma enrollment

NPI 1467657916 (903) 329-5051

Idabel Pv LLC

51 mi

Optometrist

2020 S E WASHINGTON
Idabel, OK 74745

Reassigned Medicare billing, Oklahoma enrollment

NPI 1538876529 (903) 329-5051

Provider Profile

138 mi

Ophthalmology

5389 N 1ST AVE
Durant, OK 74701

Reassigned Medicare billing, Oklahoma enrollment
2 clinicians in this Medicare group

NPI 1245245059 (580) 924-5211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

131 services131 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

104 services87 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

49 services36 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

47 services35 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

37 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services20 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

24 services19 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

15 services14 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

15 services14 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

13 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN WILLIAMS

Optometrist