Thara Atiyya Bacchus in Winter Garden - Optometrist

Thara Atiyya Bacchus - NPI 1093917460

Thara Atiyya Bacchus is a Optometrist in Winter Garden, Florida. Thara Atiyya Bacchus practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Thara Atiyya Bacchus is 1093917460. The last update date is 2007-07-08.

Thara Atiyya Bacchus's current location address is 725 Tranquil Trail, Winter Garden, Florida. You can contact this provider via phone number 4077653069. The mailing address for Thara Atiyya Bacchus is 725 Tranquil Trail, Winter Garden, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Thara Atiyya Bacchus
Address 725 Tranquil Trail, Winter Garden, Florida
Phone Number 4077653069
Fax Number
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1093917460
Provider Enumeration Date 2007-06-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 725 Tranquil Trail
City Winter Garden
State Florida (FL)
Post Code 34787
Phone Number 4077653069
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPC4111
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Thara Atiyya Bacchus

What is the unique identifier code issued to Thara Atiyya Bacchus by the Centers for Medicare & Medicaid Services (CMS)?

The Thara Atiyya Bacchus has been assigned the NPI (National Provider Identifier) 1093917460. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Thara Atiyya Bacchus is geographically located?

The Thara Atiyya Bacchus is physically situated at the following location: 725 Tranquil Trail, Winter Garden, FL, 34787.

What is Thara Atiyya Bacchus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thara Atiyya Bacchus is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date did the Thara Atiyya Bacchus receive the assignment of its 1093917460 from the Centers for Medicare & Medicaid Services?

The Thara Atiyya Bacchus was issued its 1093917460 by the Centers for Medicare & Medicaid Services on 2007-06-05.

As of what date was the information regarding Thara Atiyya Bacchus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thara Atiyya Bacchus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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