IndividualActive
Thara Bacchus, O.D.
NPI 1093917460 · Optometrist · Clermont, FL
Thara Bacchus, O.D. is a Optometrist provider in Clermont, FL (NPI 1093917460).
Provider details
- NPI number
- 1093917460
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- OPC4111 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1450 Johns Lake Road
Clermont, FL 34711
Phone: (352) 243-5652
Street-level locationGet directions
Mailing address
725 Tranquil Trail
Winter Garden, FL 34787
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Thara Bacchus's NPI number?
- Thara Bacchus's National Provider Identifier (NPI) is 1093917460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thara Bacchus's specialty?
- Thara Bacchus is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Thara Bacchus located?
- Thara Bacchus's practice location on file with NPPES is 1450 Johns Lake Road, Clermont, FL 34711.
- What is Thara Bacchus's phone number?
- The practice phone number listed in the NPPES registry for Thara Bacchus is (352) 243-5652.
- Is Thara Bacchus's NPI active?
- Yes — Thara Bacchus's NPI (1093917460) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.