Individual
DR. JASON ALLEN BRATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
611N HUDSON ST, SILVER CITY, NM 88061-5436
(575) 538-2994
(575) 538-2996
Mailing address
611N HUDSON ST, SILVER CITY, NM 88061-5436
(575) 538-2994
(575) 538-2996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
568
NM
152WC0802X
Corneal and Contact Management Optometrist
568
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2590482
—
NM
05
—
78653037
—
NM
Enumeration date
07/31/2006
Last updated
11/29/2015
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