Samuel Hathy III, OD
Samuel Hathy III, OD is an Eyewear Supplier in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
11111 San Jose Blvd Ste 44Jacksonville, FL 32223-7274
Phone: (904) 292-3976
Fax: (904) 292-5322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence FL-OPC-2361 (FL) |
|---|
Record details
| NPI number | 1801191960 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Hathy — Doctor · (904) 292-3976 |
| NPI enumerated | January 21, 2011 |
| Last updated in NPPES | January 21, 2011 |
| Mailing address | 11111-44 San Jose Blvd, Jacksonville, FL 32223 |
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