Individual
KELLIE THOMPSON BASSION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4414 SW COLLEGE RD UNIT 1462, OCALA, FL 34474-2701
(352) 622-5183
Mailing address
4414 SW COLLEGE RD UNIT 1462, OCALA, FL 34474-2701
(352) 622-5183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4821
FL
Other
Enumeration date
08/28/2013
Last updated
07/25/2021
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