BOB HAM EYEWEAR INC (NPI# 1114105731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105731 |
| Entity Type | Organization |
| Organization Name | BOB HAM EYEWEAR INC |
| Practice Address |
9965 San Jose Blvd Ste 24 Jacksonville FL 32257-5866 |
| Practice Telephone | 9042685949 |
| Practice Fax Number | 9042685949 |
| Mailing Telephone | 9042685949 |
| Mailing Fax Number | 9042686867 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | ROBERT W HAM (OPTICIAN/OWNER) |
| Authorized Official Telephone | 9042685949 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | OE263 | FL | Suppliers |
| Street Address |
9965 SAN JOSE BLVD STE 24 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968471 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 12200 Atlantic Blvd, Jacksonville, FL 32225-3006 | 2020-09-24 |
| 1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
| 1760048151 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1705 W Morton Ave, Jacksonville, IL 62650-2719 | 2019-05-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1568889111 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4890 Big Island Dr, Jacksonville, FL 32246-7490 | 2014-03-20 |
| 1275957797 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 1345 Western Blvd, Suite120, Jacksonville, NC 28546-6663 | 2014-02-05 |
| 1366748832 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10300 Ssd Blvd Ste 237, Jacksonville, FL 32256-0743 | 2011-02-01 |
| 1639475106 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4495 Roosevelt Blvd Ste 101, Jacksonville, FL 32210-3382 | 2011-02-01 |
| 1083938443 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4495101 Roosevelt Blvd, Roosevelt Blvd, Jacksonville, FL 32210 | 2010-03-15 |
| 1174779730 | Sight 'n Style, Inc. | Eyewear Supplier (Equipment, not the service) | 1403-16 Dunn Avenue, Jacksonville, FL 32218 | 2008-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on BOB HAM EYEWEAR INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.