Alice Marie Bacak, O.D.
NPI 1669470159ActiveIndividual· Optometrist· South Haven, MI
Optometrist (O.D.) in South Haven, Michigan, trained at Ohio State University - College of Optometry (class of 1988). In 2024 Medicare paid $7,519 for 75 patients, and Part D covered 61 of their prescriptions, 85% of them generic. Coopervision Inc. was the largest of 2 companies reporting payments in 2025, $168.87 in all, mostly food and beverage.
Overview
| NPI | 1669470159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 8, 2005 |
| Last updated in NPPES | Mar 12, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901003231 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 146 across 14 procedure codes |
| Paid by Medicare | $7,519 |
Part D prescriptions in 2024
| Prescriptions (claims) | 61 · 125 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $4,250 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Ohio State University - College of Optometry |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Optometry |
Medical group
- South Haven Eyecare AssociatesSouth Haven, MI · 2 clinicians
Industry payments (Open Payments)
- 2025$168.87 · 2 payments from 2 companies
- 2024$295.97 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $119.49 | 1 |
| Lombart Brothers, Inc. | $49.38 | 1 |
What the 2025 payments were for
- Food and Beverage$168.87 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in South Haven
- 1083744379
- 1316941255
- 1003814500