Individual provider Active NPI

Gail Bass Derscheid, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1992741557
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
824 Issued in AZ
Practice address
5425 E Bell Rd
Ste 135
Scottsdale, AZ 85254-6007
Phone
(602) 404-2005
Fax
(602) 466-2336
NPI assigned
Jun 21, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 824 AZ Primary

Addresses

Primary practice location

5425 E Bell Rd
Ste 135
Scottsdale, AZ 85254-6007

Mailing address

5425 E Bell Rd
Suite 135
Scottsdale, AZ 85254-6007
Phone (480) 614-0466

Other names 1

  • Dr. Gail Jean Bass Former name

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
I20041216000915 AZ Practitioner - Optometry 8224012414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvision Centers , PLLC Optometrist CurrentSince Jan 19, 2020 Accepting new patients
Nuvision Centers , PLLC Optometrist CurrentSince Jan 19, 2020 Accepting new patients

Locations

10149 N 92nd St
Ste 102
Scottsdale, AZ 85258
Phone (480) 860-1330

5425 E Bell Rd
Ste 135
Scottsdale, AZ 85254
Phone (602) 404-2005

Organizations & group practices 3

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1992741557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "address_2": "SUITE 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "480-614-0466",
            "fax_number": "480-614-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "address_2": "STE 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-404-2005",
            "fax_number": "602-466-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERSCHEID",
        "first_name": "GAIL",
        "middle_name": "BASS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "BASS",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.