Individual
DR. BARRY RAYFORD BASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
711 COX CREEK PKWY, FLORENCE, AL 35630-1001
(256) 766-3139
(256) 767-7374
Mailing address
711 COX CREEK PKWY, FLORENCE, AL 35630-1001
(256) 766-3139
(256) 767-7374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-722-TA-009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058371BAS
—
AL
05
—
009933175
—
AL
01
—
0663380001
PALMETTO GBA/DMERC
AL
01
—
51058371
BCBS OF ALABAMA
AL
01
—
51517600
BCBS OF AL: 2ND LOCATION
AL
Enumeration date
02/26/2006
Last updated
01/05/2011
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