Organization
BEACON VISION CENTER, INC
Active
Other names
Beacon Advanced Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J. NAUMANN OPTICIAN (CORP SEC)
(352) 728-8318
Entity
Organization
Contact information
Practice address
1320 SHELFER ST, LEESBURG, FL 34748-3929
(352) 728-8318
(352) 728-0057
Mailing address
1320 SHELFER ST, BEACON ADVANCED EYE CARE, LEESBURG, FL 34748-3929
(352) 728-8318
(352) 728-0057
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
1146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630288200
—
FL
Enumeration date
06/18/2006
Last updated
12/18/2009
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