J Bass LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

J BASS LTD

Practice address

112 S 42ND Street
Mt. Vernon, IL 62864

Phone

(618) 244-0508

Fax

(618) 244-0646

NPI assigned

Dec 6, 2006

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Tepovich

Title

Manager

Phone

(618) 244-0508

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

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.

• Jennifer K Bass, OD

  • Optometrist
  • Mount Vernon, IL
  • NPI 1922009950
  Medicare reassignment Care Compare group NPD
• Jennifer Craig, O.D.

  • Optometrist
  • Carbondale, IL
  • NPI 1376573022
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1497814305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S 42ND STREET",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-244-0508",
            "fax_number": "618-244-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 42ND STREET",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-244-0508",
            "fax_number": "618-244-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BASS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "TEPOVICH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-244-0508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE6294",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1922009950",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Ile
• Jane Iles, RPH
• Illinois Express Vision Center, Mattoon Inc (Mt Vernon Eyecare)
• Indiana Hearing LLC (Miracle Ear)
• Inmed Diagnostic Services of Il, LLC
• Jacob S Jackson, DPT
• Kristen Jacobs, MD
• Jacques Papazian M.D,S.C.
• Vipin K Jain, MD
• Greeshma James, M.D.

• Optometrist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.