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Contact Information

BEACH OPTICAL COMPANY
21 12TH ST S
JACKSONVILLE BEACH, FL32250-3433
 Phone: 904-249-2166
 Fax: 904-246-2383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BEACH OPTICAL COMPANY

NPI # 1902918535
LBN Legal business name BEACH OPTICAL COMPANY
Authorized official ARTHUR MATHEWS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 01/31/2008 - About 18 years ago
Identifiers
FL License # 552
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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