| NPI | 1598343121 |
|---|---|
| Doing Business As | BASS EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN LESLIE BASS Owner/President 817-312-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |