IndividualActive
Jason Bacharach, MD
NPI 1639160112 · Glaucoma Specialist (Ophthalmology) Physician · Petaluma, CA
Provider details
- NPI number
- 1639160112
- Entity type
- Individual
- Primary specialty
- Glaucoma Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G73984 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
104 Lynch Creek Way
Suite 15
Petaluma, CA 94954-2355
Phone: (707) 762-3573
Fax: (707) 762-6873
Approximate (ZIP-level) locationGet directions
Mailing address
104 Lynch Creek Way
Petaluma, CA 94954-2355
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.