NPIMap

Organization Active NPI

Eric J Bass OD Professional Corp

  • Optometrist
  • Westminster, CA
National Provider Identifier
1104904804
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Dr. Eric Bass, O.D.NPI 1780765289
Title
Owner
Phone
(714) 898-5631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8249T CA Primary

Addresses

Primary practice location

15068 Goldenwest St
Westminster, CA 92683-6152

Mailing address

15068 Goldenwest St
Westminster, CA 92683-6152
Phone (714) 898-5631

National Provider Directory

National Provider Directory

Locations

15068 Goldenwest St
Westminster, CA 92683
Phone (714) 898-5631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • 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.