Individual
DR. ANTHONY VINCENT BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1900 S COULTER DRIVE, SUITE I, AMARILLO, TX 79106-1751
(806) 355-9411
(806) 322-3451
Mailing address
1900 S COULTER DRIVE, SUITE I, AMARILLO, TX 79106-1751
(806) 355-9411
(806) 322-3451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2392TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102820310
FIRSTCARE/SOUTHWEST
TX
01
—
80241Q
BLUECROSS BLUESHIELD
TX
Enumeration date
07/05/2006
Last updated
10/04/2011
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