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Contact Information

BEACON VISION CENTER, INC
1320 SHELFER ST
LEESBURG, FL34748-3929
 Phone: 352-728-8318
 Fax: 352-728-0057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for BEACON VISION CENTER, INC

NPI # 1114962677
LBN Legal business name BEACON VISION CENTER, INC
Authorized official JOHN NAUMANN - (CORP SEC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 12/18/2009 - About 16 years ago
Identifiers
FL License # 1146
FL Medicaid 630288200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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