MEDICARE: JACOUB HAMMODEH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	8494TG	TX

General Provider Information

NPI Number	:	1427462225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOUB HAMMODEH O.D.

Provider Business Mailing Address
First Line	:	2903 N SAINT MARYS ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3532
Country	:	US
Telephone Number	:	210-225-4141
Fax Number	:	210-229-9400

Provider Business Practice Location Address
First Line	:	2903 N SAINT MARYS ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3532
Country	:	US
Telephone Number	:	210-225-4141
Fax Number	:	210-229-9400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	06/05/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1669434155 — ARTHUR A MEDINA JR. O.D.
Practice Location Address:

2903 N SAINT MARYS ST
SAN ANTONIO, TX
78212-3532

Practice Phone: 210-225-4141
Practice Fax: 210-229-9400

1902462203 — HEALTHY HEARING ENTERPRISES OF SAN ANTONIO, PLLC
Practice Location Address:

2903 N SAINT MARYS ST STE B
SAN ANTONIO, TX
78212-3532

Practice Phone: 903-297-5353
Practice Fax:

1356387526 — KELLY REED SLP
Practice Location Address:

4022 GROVETREE
SAN ANTONIO, TX
78247-3532

Practice Phone: 210-491-2714
Practice Fax:

1154315406 — MR. PATRICK C CHENG DC, CCSP, QME
Practice Location Address:

502 GRAND AVE
SOUTH SAN FRANCISCO, CA
94080-3532

Practice Phone: 650-737-7667
Practice Fax: 650-737-7996

1700849817 — DR. CARLOS GILBERTO RIVERA BERMUDEZ M.D.
Practice Location Address:

313 AVE DOMENECH , BALDRICH
SAN JUAN, PR
00918-3532

Practice Phone: 787-763-7423
Practice Fax: 787-763-2039

Directions to “ JACOUB HAMMODEH O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.