Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter S. Bae, OD

Individual provider Optometrist · NPI 1245230861

Dr. Peter S. Bae, OD is an Optometry in Bronx, New York. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

103 W Kingsbridge Rd
Bronx, NY 10468-3902
Phone: (718) 432-5555
Fax: (718) 548-2399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence VUT006341 (NY)

Record details

NPI number1245230861
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESSeptember 14, 2011
Mailing address103 W Kingsbridge Rd, Bronx, NY 10468-3902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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