Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON BACHARACH, MD
ActiveJASON BACHARACH, MD is a Glaucoma Specialist healthcare provider located in PETALUMA, California. NPI 1639160112 is currently active in the NPPES registry. Verify at CMS.
Glaucoma Specialist · PETALUMA, CA
Registration Details
- NPI Number
- 1639160112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.801458606167 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
G73984 (CA)G73984 (CA)
Practice Information
- Address
-
104 LYNCH CREEK WAYSUITE 15PETALUMA, CA, 949542355Browse CA providers · Browse ZIP 94954
- Phone
- 7077623573
- Fax
- 7077626873
- Primary Specialty
-
Glaucoma Specialist
207WX0009X
- Additional Specialty
- Glaucoma Specialist
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.