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Individual

KARA MEG BACHUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D. , F.A.A.O.

Contact information

Practice address
4219 W LAKE MARY BLVD, LAKE MARY, FL 32746-2411
(407) 562-4490
Mailing address
900 LOBELIA DR, LAKE MARY, FL 32746-2661
(407) 461-2946

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
10133TG
TX
152W00000X
Optometrist
Primary
OPC2970
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20726
BCBSFL
FL
01
5271200
AETNA
FL
05
620239000
FL
01
6599986
GHI
FL
01
8089335
CIGNA
FL
Enumeration date
11/11/2006
Last updated
03/03/2025
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