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
Phone: (954) 564-2020
Fax: (954) 565-4671
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184927105 | NPPES |
| Florida | Other | 008988600 | MEDICAID GROUP |
| Florida | MEDICAID | 008992900 | MEDICAID GROUP |
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