Jennifer K Bass, OD

NPI #1922009950 in Mt Vernon, Illinois

Provider Information

NPI Number
1922009950
Entity Type
Individual
Name
Jennifer K Bass, OD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Aug 1, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
112 S 42ND ST
ZIP Code
62864
Phone
(618) 244-0508

Specialties & Taxonomy Codes

Specialty
Optometrist

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