| John L Bass Od Pc | |
|
2702 S Hulen St, Fort Worth, TX 76109-5590 | |
| (817) 312-9771 | |
| Not Available |
| Full Name | John L Bass Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2702 S Hulen St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598343121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | John Leslie Bass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083725188 PECOS PAC ID: 1254581200 Enrollment ID: I20121029000083 |
| Mailing Address | Practice Location Address |
|---|---|
| John L Bass Od Pc 1636 Pleasant Run, Keller, TX 76248-5381 Ph: (817) 312-9771 | John L Bass Od Pc 2702 S Hulen St, Fort Worth, TX 76109-5590 Ph: (817) 312-9771 |
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