Provider Demographics
NPI:1962818948
Name:FLORENCE EYE CENTER, INC.
Entity Type:Organization
Organization Name:FLORENCE EYE CENTER, INC.
Other - Org Name:SPECS DOWNTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BASDEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-246-2959
Mailing Address - Street 1:711 COX CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1001
Mailing Address - Country:US
Mailing Address - Phone:256-246-2959
Mailing Address - Fax:256-767-7374
Practice Address - Street 1:109 N COURT ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4764
Practice Address - Country:US
Practice Address - Phone:256-246-2959
Practice Address - Fax:256-767-7374
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORENCE EYE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-10
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS722TA009152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty