SAMUEL HATHY IIIO.D. NPI 1801191960

NPI Information

NPI: 1801191960
Provider Name: SAMUEL HATHY III,O.D.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
11111 SAN JOSE BLVD STE 44
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 292-3976
Get Directions

SAMUEL HATHY III,O.D. is an eyewear supplier in Jacksonville, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SAMUEL HATHY III,O.D. NPI is 1801191960. The provider is registered as an organization entity type.

The provider's business location address is:

11111 SAN JOSE BLVD STE 44
JACKSONVILLE, FL
ZIP 32223-274
Phone: (904) 292-3976
Fax: (904) 292-5322

The provider's authorized official is Samuel Hathy .
The authorized official title is Doctor and has the following contact phone number (904) 292-3976.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 1/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		FL-OPC-2361	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20163	MEDICARE PIN	FLORIDA
2	U05440	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »