Active NPI
Eric J Bass
- Optometrist
- Orange, CA
National Provider Identifier
1881764546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8249T
- Legal business name
- ERIC J BASS
- Practice address
- 130 S Main St
Suite F
Orange, CA 92868-2869 - Phone
- (714) 939-9202
- Fax
- (714) 939-0356
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- Optometrist
- Phone
- (714) 939-9202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8249T | CA | Primary |
Addresses
Primary practice location
130 S Main St
Suite F
Orange, CA 92868-2869
Mailing address
130 S Main St
Suite F
Orange, CA 92868-2869
Phone (714) 939-9202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0082490 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
130 S Main St
Ste F
Orange, CA 92868
Phone (714) 939-9202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Garden Grove, CA
- NPI 1063826741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405900800000",
"number": "1881764546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S MAIN ST",
"address_2": "SUITE F",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682869",
"telephone_number": "714-939-9202",
"fax_number": "714-939-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S MAIN ST",
"address_2": "SUITE F",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682869",
"telephone_number": "714-939-9202",
"fax_number": "714-939-0356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC J BASS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2014-07-21",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "714-939-9202",
"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": "SD0082490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, 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.