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General NPI Number Information
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NPI Number | 1679614572
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Entity Type | Organization
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Legal Business Name | BASDEN EYECARE
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 780 N DEAN RD
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City | AUBURN
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State | AL
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Zip | 36830-4300
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Country | US
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Telephone | 334-887-6621
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N COLLEGE ST
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City | AUBURN
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State | AL
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Zip | 36830-3814
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Country | US
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Telephone | 334-887-6621
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Fax | 334-826-2059
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRETT ALAN BASDEN
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Credential | O.D.
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Telephone | 334-887-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S765TA139
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License Number State | AL
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