Provider Demographics
NPI:1457024499
Name:PENDLEY, BAYLEE DRIGGERS
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:DRIGGERS
Last Name:PENDLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 THE BRIDGE ST STE 114
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-0005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:888-494-1476
Practice Address - Street 1:300 THE BRIDGE ST STE 114
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-0005
Practice Address - Country:US
Practice Address - Phone:256-836-0572
Practice Address - Fax:888-494-1476
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003359152W00000X
ALR-353152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist