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

Dr. Thara Atiyya Bacchus, OD

Individual provider Optometrist · NPI 1093917460

Dr. Thara Atiyya Bacchus, OD is an Optometrist in Clermont, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

1450 Johns Lake Rd
Clermont, FL 34711
Phone: (352) 243-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC4111 (FL)

Record details

NPI number1093917460
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 8, 2007

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