Organization
ERIC J BASS OD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BASS O.D. (OWNER)
(714) 898-5631
Entity
Organization
Contact information
Practice address
15068 GOLDENWEST ST, WESTMINSTER, CA 92683-6152
(714) 898-5631
(714) 898-4771
Mailing address
15068 GOLDENWEST ST, WESTMINSTER, CA 92683-6152
(714) 898-5631
(714) 898-4771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8249T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000830
—
CA
Enumeration date
11/01/2006
Last updated
07/21/2014
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