BONNIE QUACH – Optometrist, NPI 1114662913

BONNIE QUACH is a healthcare provider. based in Watertown, Massachusetts. specializing in OPTOMETRY. They hold a License No. 5532 (MA). The NPI Number for BONNIE QUACH is 1114662913

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE QUACH
NPI
1114662913
Phone
(857) 204-9525
Address
33 GILBERT ST
Enumeration Date
5 May 2022
Last Update Date
5 July 2022

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6178180476
Graduation Year
2022 (4 years ago)
PAC ID
3072995844
Group Practice PAC ID
3779862206
Professional Enrollment ID
I20220727001455
Address ID
MA021381197CA603XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for BONNIE QUACH

  • 33 GILBERT ST

    WATERTOWN, MA 024721783

    Phone: (857) 204-9525

    Type: Mailing

  • 603 CONCORD AVE STE B

    CAMBRIDGE, MA 021381380

    Phone: (617) 945-2906

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220727001455IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02472)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779862206View full group profile
NameSpecialtyState
O P T O M E T R YMA
-MA

Reviews

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Frequently asked questions

What number should I use to identify BONNIE QUACH for billing?
Administrative and clinical systems typically use NPI 1114662913 for BONNIE QUACH.
Is BONNIE QUACH's NPI status active today?
Active status means BONNIE QUACH's NPI record is not deactivated in the public file.
What services align with BONNIE QUACH's listing?
BONNIE QUACH's public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit BONNIE QUACH in Watertown, Massachusetts?
For routing, start with Watertown, Massachusetts for BONNIE QUACH, then verify phone and hours locally.
Can I export BONNIE QUACH's record?
You can download the official NPPES record; we summarize key fields for readability.

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