Jason Bacharach (NPI# 1639160112, PAC ID# 7911944509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1639160112 |
| PAC ID by PECOS | 7911944509 |
| Professional Enrollment ID | I20081023000887 |
| Full Name | Jason Bacharach |
| Organization Legal Name | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| Address |
104 Lynch Creek Way Suite 15 Petaluma CA 94954-2387 |
| Phone Number | 7077623573 |
| Gender | M |
| Medical School | HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC |
| Graduation Year | 1984 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9436147980 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050136 | PETALUMA VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 Lynch Creek Way, Suite 15, Petaluma, CA 94954-2387 | 7077623573 | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| 380 Tesconi Ct, Santa Rosa, CA 95401-4653 | 7075443375 | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| Organization Legal Name | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Andersen | Optometry | North Bay Eye Associates, A Medical Corporation | 380 Tesconi Ct, Santa Rosa, CA 95401-4653 |
| Michael A Saidel | Ophthalmology | North Bay Eye Associates, A Medical Corporation | 181 Andrieux St, Suite 100, Sonoma, CA 95476-6920 |
| Lisa Ann Teel | Optometry | North Bay Eye Associates, A Medical Corporation | 1310 Prentice Dr, Suite F, Healdsburg, CA 95448-5004 |
| Alyssa Louie | Optometry | North Bay Eye Associates, A Medical Corporation | 104 Lynch Creek Way, Suite 15, Petaluma, CA 94954-2387 |
| Emil I Shieh | Ophthalmology | North Bay Eye Associates, A Medical Corporation | 380 Tesconi Ct, Santa Rosa, CA 95401-4653 |
| William H Bartlett | Ophthalmology | North Bay Eye Associates, A Medical Corporation | 380 Tesconi Ct, Santa Rosa, CA 95401-4653 |
| David Eugene Ulmer | Ophthalmology | North Bay Eye Associates, A Medical Corporation | 380 Tesconi Ct, Santa Rosa, CA 95401-4653 |
| Street Address |
104 LYNCH CREEK WAY SUITE 15 |
| City | PETALUMA |
| State | CA |
| Zip | 94954-2387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica P Flinders | Nurse Practitioner | Northern California Medical Assoc Inc | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 |
| Jennifer Leigh Logan | Registered Dietitian Or Nutrition Professional | Northern California Medical Assoc Inc | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 |
| Alyssa Louie | Optometry | North Bay Eye Associates, A Medical Corporation | 104 Lynch Creek Way, Suite 15, Petaluma, CA 94954-2387 |
| Saw W Aye | Internal Medicine | Northern California Medical Assoc Inc | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 |
| Lisa Marie Laidlaw | Nurse Practitioner | Northern California Medical Assoc Inc | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PETALUMA + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.