OrganizationActive
Samuel Hathy Iii,o.d.
NPI 1801191960 · Eyewear Supplier · Jacksonville, FL
Samuel Hathy Iii,o.d. is a Eyewear Supplier organization in Jacksonville, FL (NPI 1801191960).
Provider details
- NPI number
- 1801191960
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Samuel Hathy, Doctor(904) 292-3976
- License
- FL-OPC-2361 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11111 San Jose Blvd Ste 44
Jacksonville, FL 32223-7274
Phone: (904) 292-3976
Fax: (904) 292-5322
Street-level locationGet directions
Mailing address
11111-44 San Jose Blvd
Jacksonville, FL 32223
Registry dates
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Frequently asked questions
- What is Samuel Hathy Iii,o.d.'s NPI number?
- Samuel Hathy Iii,o.d.'s National Provider Identifier (NPI) is 1801191960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel Hathy Iii,o.d.?
- Samuel Hathy Iii,o.d. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Samuel Hathy Iii,o.d. located?
- Samuel Hathy Iii,o.d.'s practice location on file with NPPES is 11111 San Jose Blvd Ste 44, Jacksonville, FL 32223-7274.
- What is Samuel Hathy Iii,o.d.'s phone number?
- The practice phone number listed in the NPPES registry for Samuel Hathy Iii,o.d. is (904) 292-3976.
- Who is the authorized official for Samuel Hathy Iii,o.d.?
- The authorized official listed on Samuel Hathy Iii,o.d.'s NPPES record is Samuel Hathy, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel Hathy Iii,o.d.'s NPI active?
- Yes — Samuel Hathy Iii,o.d.'s NPI (1801191960) is active in the NPPES registry as of the last update on 2011-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.