Individual
THOMAS BASSETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6097 US HIGHWAY 6, PORTAGE, IN 46368-5215
(219) 763-1538
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003994A
IN
Other
Enumeration date
09/01/2016
Last updated
05/24/2023
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