Audree Shanae Bass, OD | |
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | |
(734) 936-4000 | |
Not Available |
Full Name | Audree Shanae Bass |
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Gender | Female |
Speciality | Optometrist |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013584556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005631 (Michigan) | Primary |
Provider Name | Regents Of The University Of Michigan |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255356903 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000292 |
Mailing Address | Practice Location Address |
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Audree Shanae Bass, OD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Audree Shanae Bass, OD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
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