NPI 1790790160 · live from the CMS NPI Registry
Jason Allen Bratcher, O.D.
Optometrist in Silver City, NM. National Provider Identifier 1790790160, active.
NPI record
| NPI | 1790790160 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 611n Hudson St, Silver City, NM 88061 |
| Practice phone | 575-538-2994 |
| Enumerated | July 31, 2006 |
| Last updated | November 29, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 568 (NM) |
| Optometrist, Corneal and Contact Management | 152WC0802X | 568 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.