DR. THARA ATIYYA BACCHUS (O.D.) – Optometrist, NPI 1093917460

DR. THARA ATIYYA BACCHUS (O.D.) is a healthcare provider. based in Winter garden, Florida. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. OPC4111 (FL). The NPI Number for DR. THARA ATIYYA BACCHUS (O.D.) is 1093917460

Main info

Female
Sole Proprietor
Name
DR. THARA ATIYYA BACCHUS (O.D.)
NPI
1093917460
Phone
(407) 765-3069
Address
725 TRANQUIL TRAIL
Enumeration Date
5 June 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THARA ATIYYA BACCHUS (O.D.)

  • 725, Tranquil Trail, Black Lake Park, Winter Garden, Orange County, Florida, 34787, United States

    WINTER GARDEN, FL 34787

    Phone: (407) 765-3069

    Type: Mailing

  • Walmart Supercenter, 1450, Johns Lake Road, Clermont, Lake County, Florida, 34711, United States

    CLERMONT, FL 34711

    Phone: (352) 243-5652

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 34787)

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Reviews

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Frequently asked questions

How is DR. THARA ATIYYA BACCHUS (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. THARA ATIYYA BACCHUS (O.D.) with NPI 1093917460.
Is DR. THARA ATIYYA BACCHUS (O.D.) still practicing?
DR. THARA ATIYYA BACCHUS (O.D.) is currently listed as active in the public NPI registry.
What is DR. THARA ATIYYA BACCHUS (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. THARA ATIYYA BACCHUS (O.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. THARA ATIYYA BACCHUS (O.D.)?
DR. THARA ATIYYA BACCHUS (O.D.)'s geographic hint is Winter Garden, Florida in our summary view.
Is the information about DR. THARA ATIYYA BACCHUS (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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