Eric J Bass Od Professional Corp

LBN: Eric J Bass Od Professional Corp
Eric J Bass Od Professional Corp is an health care organization with primary practice located at 15068 Goldenwest St , Westminster CA 92683-6152. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eric J Bass Od Professional Corp can be contacted via phone (714) 898-5631, or through Bass, Eric via phone (714) 898-5631.

Contact Information

Primary practice address
15068 Goldenwest St Westminster CA 92683-6152
Phone: (714) 898-5631
Fax: (714) 898-4771
Website:
Map and Directions
Authorized official contact:
Name: Bass, Eric Doctor of Optometry (OD)
Phone: (714) 898-5631

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8249T California

Profile Details

NPI number 1104904804
LBN Legal business name Eric J Bass Od Professional Corp
DBA Doing business as
Authorized official Bass, Eric Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104904804 NPPES
California MEDICAID GSD000830

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