DR. John Hardy Bascome V, O.D.

NPI #1184927105 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1184927105
Entity Type: Individual
Name: DR. John Hardy Bascome V, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 14, 2010
Last Updated: Jan 10, 2014

Practice Location

Address: 2502 E OAKLAND PARK BLVD
City: Ft Lauderdale
State: Florida
ZIP Code: 33306-1601
Phone: (954) 564-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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