Organization
DAVIDSON, HUGHES, BASS PA
Active
Other names
Eyes Nouveau
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LESLIE BASS O.D. (OPTOMETRIST)
(817) 481-2070
Entity
Organization
Contact information
Practice address
1247 MAIN ST, SOUTHLAKE, TX 76092-7603
(817) 481-2070
(817) 410-9277
Mailing address
1247 MAIN ST, SOUTHLAKE, TX 76092-7603
(817) 481-2070
(817) 410-9277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
01/04/2008
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