Organization
BASHAM EYE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BASHAM M.D. (OWNER)
(408) 354-4740
Entity
Organization
Contact information
Practice address
212 OAK MEADOW DR, LOS GATOS, CA 95032-4407
(408) 354-4740
(408) 354-8161
Mailing address
212 OAK MEADOW DR, LOS GATOS, CA 95032-4407
(408) 354-4740
(408) 354-8161
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A121146
CA
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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