Individual provider Active NPI

Glenn Bassett, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1750694865
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1749 Issued in AZ
Practice address
9039 E Indian Bend Rd
Scottsdale, AZ 85250-8521
Phone
(480) 948-0705
NPI assigned
Jul 17, 2010
Last updated
Jan 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1749 AZ Primary

Addresses

Primary practice location

9039 E Indian Bend Rd
Scottsdale, AZ 85250-8521

Mailing address

9039 E Indian Bend Rd
Scottsdale, AZ 85250-8521

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101025000276 AZ Practitioner - Optometry 3577756485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Nov 15, 2015 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Visionworks Inc Past Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

2156 E Williams Field Rd
Gilbert, AZ 85295
Phone (480) 814-2583

2156 E Williams Field Rd
Ste 104
Gilbert, AZ 85295
Phone (480) 814-2583

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

1938 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 894-2020

7611 W Thomas Rd
Ste B018
Phoenix, AZ 85033
Phone (623) 873-2511

4631 N Oracle Rd
Ste 175
Tucson, AZ 85705
Phone (520) 408-1200

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295049600000",
    "number": "1750694865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9039 E INDIAN BEND RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852508521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 E INDIAN BEND RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852508521",
            "telephone_number": "480-948-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2011-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.