Bascome, John Hardy

Bascome, John Hardy is an sole proprietor health care provider with primary practice located at 2502 E Oakland Park Blvd , Ft Lauderdale FL 33306-1601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bascome, John Hardy can be contacted via phone (954) 564-2020.

Contact Information

Primary practice address
2502 E Oakland Park Blvd Ft Lauderdale FL 33306-1601
Fax: (954) 565-4671
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 004568 Florida

Profile Details

NPI number 1184927105
LBN Legal business name Bascome, John Hardy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2010
Last updated Jan 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184927105 NPPES
Florida Other 008988600 MEDICAID GROUP
Florida MEDICAID 008992900 MEDICAID GROUP

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