Organization
FLORENCE EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY RAYFORD BASDEN O.D. (PRESIDENT)
(256) 766-3139
Entity
Organization
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
—
529914950
—
AL
01
—
J339
MEDICARE GROUP NUMBER
AL
Enumeration date
12/17/2006
Last updated
10/05/2010
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