MEDICARE: DR. SHERRY J. BASS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	ORT003837	NY

General Provider Information

NPI Number	:	1104826536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRY J. BASS OD

Provider Business Mailing Address
First Line	:	33 W 42ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8005
Country	:	US
Telephone Number	:	212-938-5865
Fax Number	:	212-938-5831

Provider Business Practice Location Address
First Line	:	33 W 42ND ST # R1106
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8005
Country	:	US
Telephone Number	:	212-938-4001
Fax Number	:	212-938-5831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/12/2025

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Directions to “ DR. SHERRY J. BASS OD” Practice Location

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