Bradley S. Basham, O.D.

Optometrist · Fort Wayne, IN

Individual Active NPI

NPI number 1477547628

Practice location

1515 E Paulding Rd
Fort Wayne, IN 46816-1252
Phone
(260) 744-2273
Fax
(260) 744-4555

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NPI record

NPI
1477547628
Entity type
Individual (Type 1)
Enumeration date
September 2, 2005
Last updated
June 10, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 18002201 IN

About Dr. Basham

Bradley S. Basham, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1515 E Paulding Rd, Fort Wayne, IN 46816-1252. The NPI number 1477547628 was assigned on September 2, 2005 and the record was last updated on June 10, 2015.

Dr. Basham lists a license in the registry: #18002201 (IN) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley S. Basham, O.D.?

The NPI number is 1477547628.

What is the phone number of Dr. Basham?

The phone number listed for the practice location is (260) 744-2273.

Where is Dr. Basham located?

1515 E Paulding Rd, Fort Wayne, IN 46816-1252.

What is the taxonomy code for Dr. Basham?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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