MEDICARE: KARA MEG BACHUS O.D. , F.A.A.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10133TG	TX
2	152W00000X	Optometrist	OPC2970	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8089335	OTHER	FL	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5271200	OTHER	FL	AETNA
4	6599986	OTHER	FL	GHI
5	20726	OTHER	FL	BCBSFL
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174694376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA MEG BACHUS O.D. , F.A.A.O.

Provider Business Mailing Address
First Line	:	900 LOBELIA DR
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2661
Country	:	US
Telephone Number	:	407-461-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	4219 W LAKE MARY BLVD
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2411
Country	:	US
Telephone Number	:	407-562-4490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	03/03/2025

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