Individual
DR. ERIC BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15068 GOLDENWEST ST, WESTMINSTER, CA 92683-6152
(714) 898-5631
(714) 898-6576
Mailing address
15068 GOLDENWEST ST, WESTMINSTER, CA 92683-6152
(714) 898-5631
(877) 539-8668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8249T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP8249A
PPIN
CA
05
—
SD0082490
—
CA
Enumeration date
10/18/2006
Last updated
04/08/2015
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