NPIMap

Organization Active NPI

Florence Eye Center, Inc

Doing business as Tuscumbia Eye Center

  • Optometrist
  • Tuscumbia, AL
National Provider Identifier
1093999831
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-722-TA-009 Issued in AL
Legal business name
FLORENCE EYE CENTER, INC
Doing business as
Tuscumbia Eye Center
Practice address
506 N Main St
Tuscumbia, AL 35674-2049
Phone
(256) 383-2121
Fax
(256) 383-2131
NPI assigned
Dec 27, 2007
Last updated
Dec 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORENCE EYE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Barry Rayford Basden, O,D,NPI 1235105677
Title
President
Phone
(256) 383-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-722-TA-009 AL Primary

Addresses

Primary practice location

506 N Main St
Tuscumbia, AL 35674-2049

Mailing address

506 N Main St
Tuscumbia, AL 35674-2049
Phone (256) 383-2121

Other identifiers 2

IdentifierTypeStateIssuer
009933175MedicaidAL
0663380002OtherALDMERC

Other names 1

  • Tuscumbia Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051101000058 AL Part B Supplier - Clinic/Group Practice 4082631874 Receives reassigned benefits from 6 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Muscle Shoals, AL; Florence, AL; Madison, AL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Florence Eye Center

Locations

506 N Main St
Tuscumbia, AL 35674
Phone (256) 275-2123

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1093999831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N MAIN ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356742049",
            "telephone_number": "256-383-2121",
            "fax_number": "256-383-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N MAIN ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356742049",
            "telephone_number": "256-383-2121",
            "fax_number": "256-383-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE EYE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORENCE EYE CENTER, INC",
        "enumeration_date": "2007-12-27",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "BASDEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "RAYFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-383-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O,D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-722-TA-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933175",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0663380002",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscumbia Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscumbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.