Eric J Bass OD Professional Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

8249T Issued in CA

Legal business name

ERIC J BASS OD PROFESSIONAL CORP

Practice address

15068 Goldenwest St
Westminster, CA 92683-6152

Phone

(714) 898-5631

Fax

(714) 898-4771

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Bass, O.D.

Title

Owner

Phone

(714) 898-5631

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1104904804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15068 GOLDENWEST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836152",
            "telephone_number": "714-898-5631",
            "fax_number": "714-898-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15068 GOLDENWEST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836152",
            "telephone_number": "714-898-5631",
            "fax_number": "714-898-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J BASS OD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-898-5631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8249T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.