National Provider Identifier Database

J BASS LTD
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

J BASS LTD
112 S 42ND STREET
MOUNT VERNON, IL62864
Phone: 618-244-0508
Fax: 618-244-0646
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for J BASS LTD

NPI Number 1497814305
Legal business name
LBN
J BASS LTD
Authorized official TINA TEPOVICH - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 12/06/2006
Last updated 09/13/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 1922009950 BCBS
  • IL Other: DE6294 RR MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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