Individual
JAMES LAWRENCE BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4133 VETERANS MEMORIAL DR, BATAVIA, NY 14020-1253
(585) 345-1061
Mailing address
WALMART VISION CENTER, 4133 VETERANS MEMORIAL DRIVE, BATAVIA, NY 14020
(585) 345-1061
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007280-1
NY
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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