J Bass Ltd

LBN: J Bass Ltd
J Bass Ltd is an health care organization with primary practice located at 112 S 42Nd Street , Mt. Vernon IL 62864. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. J Bass Ltd can be contacted via phone (618) 244-0508, or through Tepovich, Tina via phone (618) 244-0508.

Contact Information

Primary practice address
112 S 42Nd Street Mt. Vernon IL 62864
Phone: (618) 244-0508
Fax: (618) 244-0646
Website:
Map and Directions
Authorized official contact:
Name: Tepovich, Tina
Phone: (618) 244-0508

Health care specialties

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

Profile Details

NPI number 1497814305
LBN Legal business name J Bass Ltd
DBA Doing business as
Authorized official Tepovich, Tina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Sep 13th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497814305 NPPES
Illinois Other 1922009950 BCBS
Illinois Other DE6294 BCBS

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