Jason Bratcher OD PC
Organization Active NPI Optometrist · Silver City, NM
NPI 1437216355 · NPPES record last updated May 21, 2010
Key facts
- NPI
- 1437216355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 568 (NM)
- Legal business name
- JASON BRATCHER OD PC
- Practice address
- 611 N Hudson St
Silver City, NM 88061-5436 - Phone
- (575) 538-2994
- Fax
- (575) 538-2996
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason Allen Bratcher, O.D.
- Title
- Owner
- Phone
- (575) 538-2994
Practitioners 1
-
Jason Allen Bratcher, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070118000422 | NM | Part B Supplier - Clinic/Group Practice | 9931100997 |
Receives reassigned benefits from 1 practitioner Practice locations: Silver City, NM |
National Provider Directory
Locations
1024 N Hudson St
Silver City, NM 88061
Phone (505) 538-2994
611 N Hudson St
Silver City, NM 88061
Phone (505) 538-2994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 568 | NM | Yes |
| Corneal and Contact Management Optometrist |
152WC0802X | 568 | NM |
Addresses
Primary practice location
611 N Hudson St
Silver City, NM 88061-5436
Mailing address
PO Box 2329
Silver City, NM 88062-2329
Phone (575) 538-2994
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78683037 | Medicaid | NM |
Other names
- Mountain View Eyecare
Other providers in Silver City, NM
- Inspire Psychiatry Services, LLC
- Integrated Dermatology of Silver City, LLC
- Ipc, Inc. Dba Island Park Chiropractic
- Tangela Zoe Isely
- Lacee Jackson
- Aimee M. Jaurequi
- Charlisa Jenkins
- Joseph Jensen III
- Cassandra Jewell
- John B Sherman DDS PC
All providers in Silver City, NM · Optometrist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.