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Organization

ERIC J BASS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC BASS O.D. (OPTOMETRIST)
(714) 939-9202
Entity
Organization

Contact information

Practice address
130 S MAIN ST, SUITE F, ORANGE, CA 92868-2869
(714) 939-9202
(714) 939-0356
Mailing address
130 S MAIN ST, SUITE F, ORANGE, CA 92868-2869
(714) 939-9202
(714) 939-0356

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8249T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0082490
CA
Enumeration date
11/09/2006
Last updated
07/21/2014
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