James Lawrence Basham, OPTICIAN
Individual provider Active NPI Optician · Batavia, NY
NPI 1154837342 · NPPES record last updated Dec 26, 2017
Key facts
- NPI
- 1154837342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 007280-1 (NY)
- Practice address
- 4133 Veterans Memorial Dr
Batavia, NY 14020-1253 - Phone
- (585) 345-1061
- NPI assigned
- Dec 26, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007280-1 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 007280-1 | NY | Yes |
Addresses
Primary practice location
4133 Veterans Memorial Dr
Batavia, NY 14020-1253
Mailing address
Walmart Vision Center
4133 Veterans Memorial Drive
Batavia, NY 14020
Phone (585) 345-1061
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.