Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bradley S Basham, OD

Individual provider Optometrist · NPI 1477547628

Dr. Bradley S Basham, OD is an Optometry in Fort Wayne, Indiana. Graduated from Indiana University - School of Optometry in 1985, 41 years ago. Practices with Mitchell Reinholt OD LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
41
Trained at
Indiana University - School of Optometry
Licensed in
IN
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1515 E Paulding Rd
Fort Wayne, IN 46816-1252
Phone: (260) 744-2273
Fax: (260) 744-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18002201 (IN)

Record details

NPI number1477547628
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 2, 2005
Last updated in NPPESJune 10, 2015
Mailing address1515 E Paulding Rd, Fort Wayne, IN 46816-1252

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 1985 (41 years in practice)
Group practice Mitchell Reinholt Od Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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