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Bradley Basham, O.D
NPI 1477547628 · on the registry since 2005
Practice
- Address
- 1515 E Paulding Rd
Fort Wayne, IN 46816 - Phone
- (260) 744-2273
- Fax
- (260) 744-4555
- Organisation at this address
- Fort Wayne Family Eyecare
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana