# BEAVER EYEWEAR, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124105325
- **Authorized official:** MR. THOMAS E. BEAVER (OPTICIAN/OWNER)
- **Authorized official phone:** (570) 322-1220

## Contact information

- **Practice address:** 1705 WARREN AVE, WILLIAMSPORT, PA 17701-2647
- **Practice address phone:** (570) 322-1220
- **Practice address fax:** (570) 322-3454
- **Mailing address:** 1705 WARREN AVE, WILLIAMSPORT, PA 17701-2647
- **Mailing address phone:** (570) 322-1220
- **Mailing address fax:** (570) 322-3454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | NOT APPLICABLE | PA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/17/2010