John Leslie Bass, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

05099T Issued in TX

Practice address

3000 S Hulen St
Ste 104
Fort Worth, TX 76109-1930

Phone

(817) 738-2027

Fax

(817) 738-5440

NPI assigned

Aug 31, 2006

Last updated

Sep 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyes on Southlake PLLC

  • Optometrist
  • Southlake, TX
  • NPI 1831083658
  Medicare reassignment NPD Authorized official
• John L Bass OD PC

  dba Bass Eye Care

  • Optometrist
  • Fort Worth, TX
  • NPI 1598343121
  Medicare reassignment NPD Authorized official
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Davidson, Hughes, Bass PA

  dba Eyes Nouveau

  • Optometrist
  • Southlake, TX
  • NPI 1558564815
  NPD Authorized official
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Plano, TX
  • NPI 1164067294
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Fort Worth, TX
  • NPI 1962048926
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1083725188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST",
            "address_2": "STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091930",
            "telephone_number": "817-738-2027",
            "fax_number": "817-738-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST",
            "address_2": "STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091930",
            "telephone_number": "817-738-2027",
            "fax_number": "817-738-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JOHN",
        "middle_name": "LESLIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05099T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muna Basnet, FNP
• Akirah Basped
• Apram Basra, D.O
• Austin M Bass, DPT
• David Hardy Bass, LCDC-I
• Kathleen Margaret Bass, LPC
• Mary Kay Bass, NP
• Michael David Bass, MD
• William Bass
• Derek Atauyo Bassey, LPC

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.