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Contact Information

THARA A BACCHUS, OD
1450 JOHNS LAKE ROAD
CLERMONT, FL34711
 Phone: 352-243-5652
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for THARA A BACCHUS · (Female)

NPI Number 1093917460
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC4111
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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