Organization Active NPI

John L Bass OD PC

Doing business as Bass Eye Care

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1598343121
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHN L BASS OD PC
Doing business as
Bass Eye Care
Practice address
2702 S Hulen St
Fort Worth, TX 76109-5590
Phone
(817) 312-9771
NPI assigned
Apr 2, 2021
Last updated
Apr 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
John Leslie Bass, ODNPI 1083725188
Title
Owner/President
Phone
(817) 312-9771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2702 S Hulen St
Fort Worth, TX 76109-5590

Mailing address

1636 Pleasant Run
Keller, TX 76248-5381
Phone (817) 312-9771

Other names 1

  • Bass Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001000789 TX Part B Supplier - Clinic/Group Practice 2860890068 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

2702 S Hulen St
Fort Worth, TX 76109
Phone (817) 312-9771

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": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1598343121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 PLEASANT RUN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485381",
            "telephone_number": "817-312-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095590",
            "telephone_number": "817-312-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L BASS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-312-9771",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bass Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.