Basham Eye, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A121146 Issued in CA

Legal business name

BASHAM EYE, INC.

Practice address

212 Oak Meadow Dr
Los Gatos, CA 95032-4407

Phone

(408) 354-4740

Fax

(408) 354-8161

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Ryan Basham, M.D.

Title

Owner

Phone

(408) 354-4740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1669975082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324407",
            "telephone_number": "408-354-4740",
            "fax_number": "408-354-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324407",
            "telephone_number": "408-354-4740",
            "fax_number": "408-354-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAM EYE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "BASHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-354-4740",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A121146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Barries
• Greg Barsten, D.C.
• Abigail Bartel, M.S., BCBA
• Julia Barten, DR OF PHYS THERAPY
• Julie Barto, COTA
• Elizabeth D Basham, M.D.
• Ryan Basham, MD
• Anna Basore, DPT
• Jefferson Augusto Bastidas, M.D.
• Brittney Batista

• Ophthalmology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.