Stam, Bryan Andrew
Stam, Bryan Andrew is an individual health care provider with primary practice located at 10915 Baymeadows Rd Ste 110 , Jacksonville FL 32256-9131. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Stam, Bryan Andrew can be contacted via phone (904) 647-9655.Contact Information
Primary practice address
10915 Baymeadows Rd Ste 110
Jacksonville FL 32256-9131
Phone: (904) 647-9655
Fax: (904) 647-9611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 3453 | Florida |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPC 3453 | Florida |
Profile Details
| NPI number | 1245239581 |
|---|---|
| LBN Legal business name | Stam, Bryan Andrew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 14th, 2026 - about 3 months 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 | 1245239581 | NPPES |
| Florida | MEDICAID | 620556900 | |
| Florida | MEDICAID | 620603400 |
Popular Providers
-
Mint, Janet Marie
4131 Southside Blvd Ste 203, Jacksonville FL 32216-5478 -
Flores-Guerra, Judith
6801 Roosevelt Blvd Ste 987 , Jacksonville FL 32212-1192 -
Riley Peters, Melanie A
4500 San Pablo Rd S , Jacksonville FL 32224-1865 -
Ball, Walter Lee
7500 Centurion Parkway Suite 100 Dacaf, Jacksonville FL 32256-0517 -
Patel, Manish Chandrakant
4500 San Pablo Rd S , Jacksonville FL 32224-1865 -
Reardon, Patrick L
961 Cesery Blvd , Jacksonville FL 32211-5607 -
Nolan, Dana Marie
3588 Saint Johns Ave , Jacksonville FL 32205-8446 -
Houser, Frank E.
13170 Atlantic Blvd Suite 53, Jacksonville FL 32225-6149