Bass, Robert Lebo

Bass, Robert Lebo is an individual health care provider with primary practice located at 8721 Digges Rd , Manassas VA 20110-4403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bass, Robert Lebo can be contacted via phone (703) 361-4161.

Contact Information

Primary practice address
8721 Digges Rd Manassas VA 20110-4403
Phone: (703) 361-4161
Fax: (703) 361-4163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0118000006 Virginia

Profile Details

NPI number 1275531824
LBN Legal business name Bass, Robert Lebo
Credentials O.D., F.A.A.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275531824 NPPES
Virginia Other 0118000006 LICENSE
Virginia MEDICAID 9232478 LICENSE

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