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JASON BACHARACH MD NPI 1639160112


NPI Information

NPI: 1639160112
Provider Name: JASON BACHARACH, MD
Classification: Ophthalmology - 207WX0009X
Entity Type: Individual

Specialization: Glaucoma Specialist

PECOS Registration: Yes

Address:
104 LYNCH CREEK WAY
SUITE 15
PETALUMA, CA
ZIP 94954
Phone: (707) 762-3573
Get Directions

Jason Bacharach, MD is a glaucoma specialist ophthalmology in Petaluma, CA with 40 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Jason Bacharach, MD NPI is 1639160112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
Graduation Year:1984

The provider's business location address is:

104 LYNCH CREEK WAY
SUITE 15
PETALUMA, CA
ZIP 94954-355
Phone: (707) 762-3573
Fax: (707) 762-6873

The NPI 1639160112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 11/2/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyG73984CALIFORNIANo
2207WX0009XOphthalmologyGlaucoma SpecialistG73984CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180025762OTHERCALIFORNIAPALMETTO GBA
2G73984MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.