NPIMap

Organization Active NPI

Florence Eye Center, Inc.

  • Optometrist
  • Florence, AL
National Provider Identifier
1457414104
Registry record updated Oct 5, 2010
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.
Practice address
711 Cox Creek Pkwy
Florence, AL 35630-1001
Phone
(256) 766-3139
Fax
(256) 767-7374
NPI assigned
Dec 17, 2006
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Barry Rayford Basden, O.D.NPI 1235105677
Title
President
Phone
(256) 766-3139

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

711 Cox Creek Pkwy
Florence, AL 35630-1001

Mailing address

711 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 766-3139

Other identifiers 2

IdentifierTypeStateIssuer
J339OtherALMEDICARE GROUP NUMBER
529914950MedicaidAL

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
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

Locations

8521 Highway 72 W
Madison, AL 35758
Phone (256) 246-2969

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1457414104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301001",
            "telephone_number": "256-766-3139",
            "fax_number": "256-767-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301001",
            "telephone_number": "256-766-3139",
            "fax_number": "256-767-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2010-10-05",
        "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": "256-766-3139",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-722-TA-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "J339",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914950",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.