Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Andrew Stam, OD

Individual provider Optometrist · NPI 1245239581

Bryan Andrew Stam, OD is an Optometry in Jacksonville, Florida. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

10915 Baymeadows Rd Ste 110
Jacksonville, FL 32256-9131
Phone: (904) 647-9655
Fax: (904) 647-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 3453 (FL)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence OPC 3453 (FL)

Record details

NPI number1245239581
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address10915 Baymeadows Rd Ste 110, Jacksonville, FL 32256-9131

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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