JOHN LESLIE BASS

RON G DAVIDSON OD PC DBA EYES NOUVEAU

Dr JOHN LESLIE BASS is a male medical professional, specializing in Optometry. He graduated in 1995 from Pacific University - College Of Optometry.

Contact

RON G DAVIDSON OD PC DBA EYES NOUVEAU

3000 S HULEN ST
SUITE 104
FORT WORTH
TX
761091930

Tel: 8177382027

JOHN LESLIE BASS Information

Npi 1083725188
Pac Id 1254581200
Professional Enrollment Id I20121029000083
Last Name BASS
First Name JOHN
Middle Name LESLIE
Suffix
Gender M
Credential
Medical School Name PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1995
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RON G DAVIDSON OD PC DBA EYES NOUVEAU
Group Practice Pac Id 8729041405
Number Of Group Practice Members 3
Line 1 Street Address 3000 S HULEN ST
Line 2 Street Address SUITE 104
Marker Of Address Line 2 Suppression
City FORT WORTH
State TX
Zip Code 761091930
Phone Number 8177382027
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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