Dr. Oral Edward Bass III
Optometrist
2004 W Marler Ln
Ozark
, Missouri 65721-7661
Dr. Oral Edward Bass III
Optometrist
2004 W Marler Ln
Ozark
, Missouri 65721-7661
(417) 581-3927
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Oral Edward Bass III
- Po Box 858
- Ozark, MO
- Zip : 65721-0858
- Phone : (417) 581-3927
Second Address
- Dr. Oral Edward Bass III
- 2004 W Marler Ln
- Ozark, MO
- Zip : 65721-7661
- Phone : (417) 581-3927
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2003028770 | MO |
National Provider Identifier
| NPI | 1013037365 |
|---|---|
| Provider Name | Dr. Oral Edward Bass III |
| First Address | Ozark, MO 65721-0858 |
| Second Address | Ozark, MO 65721-7661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2007 |
| Last Update Date | 19/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000015702 | PTAN (01) | MO |
| 1013037365 | INDIVIDUAL NPI (01) | MO |
| 1487825535 | (05) | MO |
| T02312 | (02) | MO |
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.