JOHN LESLIE BASS (NPI# 1083725188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083725188 |
| Entity Type | Individual |
| Full Name | JOHN LESLIE BASS |
| Credential | OD |
| Practice Address |
3000 S Hulen St Ste 104 Fort Worth TX 76109-1930 |
| Practice Telephone | 8177382027 |
| Practice Fax Number | 8177385440 |
| Mailing Telephone | 8177382027 |
| Mailing Fax Number | 8177385440 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 05099T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548562143 | John Wesley Bass | Clinic/Center | 2398 E. Camelback Rd, 980, Phoenix, AZ 85016 | 2010-12-02 |
| 1912075367 | John Marshall Bass | Dentist | 212 N Mecklenburg Ave, South Hill, VA 23970-2048 | 2006-12-02 |
| 1851464465 | John W Bass Jr. | Pharmacist | 4121 Halifax Road, South Boston, VA 24592 | 2006-11-15 |
| 1891757571 | John Robert Bass | Dentist | 13500 Otter Creek Pkwy, Little Rock, AR 72210-5792 | 2006-04-06 |
| 1346803418 | John D Bass | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-04-15 |
| 1255724274 | John Browning Bass | Emergency Medicine | 4076 Neely Rd, Fairbanks, AK 99703 | 2015-03-16 |
| 1801235320 | John Lee Bass | Nurse Practitioner | 1010 Murray Ave, Trauma & Emergency Surgery, Svrmc, San Luis Obispo, CA 93405-1806 | 2013-06-18 |
| 1134404213 | John Christopher Bass | Pharmacist | 301 W Main St, Watertown, WI 53094-7629 | 2011-10-20 |
| 1205043320 | John Michael Bass | Counselor | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2415 | 2007-05-17 |
| 1336288091 | John Watson Bass | Physician Assistant | 2704 Medical Office Pl, Goldsboro, NC 27534-9460 | 2007-02-06 |
| Street Address |
3000 S HULEN ST STE 104 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588618904 | Paul Henry Pompa | Emergency Medicine | 3000 S Hulen St, Suite 124-207, Fort Worth, TX 76109-1929 | 2006-05-20 |
| 1518596113 | Chisholm Trail E-therapy and Counseling, Pllc | Counselor | 3000 S Hulen St, Ste 124 Pmb 2021, Fort Worth, TX 76109 | 2020-04-06 |
| 1295215440 | Kayla Dingas | Pharmacist | 3000 S Hulen St, Fort Worth, TX 76109-1929 | 2018-08-17 |
| 1770016909 | Timely Telehealth, LLC | Emergency Medicine | 3000 S Hulen St, Ste. 124-320, Fort Worth, TX 76109-1929 | 2017-04-05 |
| 1588107262 | Constantiam Ltd. | Home Health | 3000 S Hulen St, 566, Fort Worth, TX 76109-1929 | 2016-11-29 |
| 1205218104 | Aaryn Mccomb | Optometrist | 3000 S Hulen St, Ste 104, Fort Worth, TX 76109-1929 | 2015-06-26 |
| 1700175510 | Bonnie Woody | Pharmacist | 3000 S Hulen St, Fort Worth, TX 76109-1929 | 2011-04-01 |
| 1053625905 | Lai Man | Pharmacist | 3000 S Hulen St, Fort Worth, TX 76109-1929 | 2010-08-03 |
| 1205149770 | Rodney Jones | Pharmacist | 3000 S Hulen St, Fort Worth, TX 76109-1929 | 2010-07-26 |
| 1033422423 | William Lemond | Pharmacist | 3000 S Hulen St, Fort Worth, TX 76109-1929 | 2010-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1275168403 | National Vision Inc | Optometrist | 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 | 2020-03-09 |
| 1659933125 | Robert Xiang Li | Optometrist | 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 | 2019-07-03 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1053879569 | Daniel Max & Marcandrea LLC | Optometrist | 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114-4014 | 2019-03-05 |
| 1083179600 | Joseph Khang Vu | Optometrist | 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 | 2019-02-07 |
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1932685682 | Jennifer Marie Wiernas | Optometrist | 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 | 2018-07-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.