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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THARA ATIYYA BACCHUS, O.D.

Active Sole Proprietor

DR. THARA ATIYYA BACCHUS, O.D. is a Optometrist healthcare provider located in CLERMONT, Florida. NPI 1093917460 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CLERMONT, FL

Registration Details

NPI Number
1093917460
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2007 (19.171387290086 yrs)
Last Updated
Jul 8, 2007
License
OPC4111 (FL)
Sole Proprietor
Yes

Practice Information

Address
1450 JOHNS LAKE ROAD
CLERMONT, FL, 34711
Browse FL providers · Browse ZIP 34711
Phone
3522435652
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CLERMONT, FL

Name Credential NPI
ALLISON REIPRECHT TOLER O.D. 1629089552
DR. BRIAN T BURRY O.D. 1578675773
DR. SAMANTHA LOVE O.D. 1710072038
JAMES DAVIS IV 1902987514
DR. MARK A. HEGETSCHWEILER O.D. 1295894533
DR. BINAL PATEL O.D. 1790036325
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.