1. Home
  2. Directory
  3. Michigan
  4. South Haven
  5. Optometrist
  6. NPI Profile

DR. ALICE MARIE BACAK O.D.
NPI 1669470159
Optometrist in South Haven, MI

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
1088 S BAILEY AVE, SUITE B, SOUTH HAVEN, MI 49090(269) 637-1442(269) 637-3801 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alice Marie Bacak O.d. NPPES

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

DR. ALICE MARIE BACAK O.D. (NPI 1669470159) is an individual optometrist in South Haven, Michigan, licensed in Michigan (4901003231) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1988).

NPPES Registry Identity

NPI1669470159
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALICE MARIE BACAKCredential: O.D.
Location Address1088 S BAILEY AVE, SUITE BSouth Haven, MI 49090-9728
Mailing Address1088 S Bailey Ave, Suite BSouth Haven, MI 49090-9728 · (269) 637-1442 · Fax (269) 637-3801
Phone(269) 637-1442
Fax(269) 637-3801
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1988
Enumeration DateJuly 8, 2005
Last NPPES UpdateMarch 12, 2008
✔ NPI 1669470159 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 MI · 4901003231
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.
1088 S BAILEY AVE, South Haven, MI 49090
Open in Google Maps ↗

Other Identifiers 4

Medicaid1994216MI
Medicare PIN0H07612MI
Medicare UPINT96839MI
Medicare NSC0240320001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alice Marie Bacak O.d. 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 ID3072628452
PECOS Enrollment IDI20101117001421
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.

Areas of Expertise CMS Part B claims 3

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.

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.
52 services51 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services15 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49090 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

DR. JOHN A MANNIK O.D.
Optometrist
1088 S BAILEY AVE, SUITE B
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-1442
SOUTH HAVEN EYECARE ASSOCIATES
Optometrist
1088 S BAILEY AVE, SUITE B
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-1442
DR. FREDERICK JAMES LEAVITT DDS
Dentist (General Practice)
1088 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-1306

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 Alice Bacak's NPI number?

The NPI number for Alice Bacak is 1669470159. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Alice Bacak located?

Alice Bacak practices at 1088 S Bailey Ave Suite B, South Haven, MI 49090. The listed phone number is (269) 637-1442.

What is Alice Bacak's specialty?

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

Is Alice Bacak enrolled in Medicare?

Yes. Alice Bacak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alice Bacak accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Alice Bacak 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 Alice Bacak was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.