Audree Shanae Bass
Optometrist
17273 State Route 104
Chillicothe
, Ohio 45601-9718
Audree Shanae Bass
Optometrist
17273 State Route 104
Chillicothe
, Ohio 45601-9718
(734) 352-9378
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Audree Shanae Bass
- 1220 Chambers Rd Apt 424a
- Columbus, OH
- Zip : 43212-1740
- Phone : (734) 352-9378
Second Address
- Audree Shanae Bass
- 17273 State Route 104
- Chillicothe, OH
- Zip : 45601-9718
- Phone : (740) 773-1141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPI.006969 | OH |
National Provider Identifier
| NPI | 1013584556 |
|---|---|
| Provider Name | Audree Shanae Bass |
| First Address | Columbus, OH 43212-1740 |
| Second Address | Chillicothe, OH 45601-9718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2021 |
| Last Update Date | 04/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.