Organization
JOHN L BASS OD PC
Active
Other names
Bass Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LESLIE BASS OD (OWNER/PRESIDENT)
(817) 312-9771
Entity
Organization
Contact information
Practice address
2702 S HULEN ST, FORT WORTH, TX 76109-5590
(817) 312-9771
Mailing address
1636 PLEASANT RUN, KELLER, TX 76248-5381
(817) 312-9771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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