Bob Ham Eyewear Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OE263 Issued in FL

Legal business name

BOB HAM EYEWEAR INC

Practice address

9965 San Jose Blvd Ste 24
Jacksonville, FL 32257-5866

Phone

(904) 268-5949

Fax

(904) 268-5949

NPI assigned

Feb 6, 2008

Last updated

Oct 16, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert W Ham, OD

Title

Optician/Owner

Phone

(904) 268-5949

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1114105731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9965 SAN JOSE BLVD STE 24",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575866",
            "telephone_number": "904-268-5949",
            "fax_number": "904-268-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9965 SAN JOSE BLVD STE 24",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575866",
            "telephone_number": "904-268-5949",
            "fax_number": "904-268-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB HAM EYEWEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "904-268-5949",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE263",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristal Boatright, PA-C
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• Stephen F Boatwright, M.S.H.
• Sarah Faith Boaz, M.D.
• Bob W. Deason, DDS, PA
• Shane Anthony Bobart, MD
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• Giana Marie Bobka, MSW

• Eyewear Supplier in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.