Organization
BEACH DRIVE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SIMMONS LDO (MANAGER)
(727) 823-2773
Entity
Organization
Contact information
Practice address
238 BEACH DR NE, ST PETERSBURG, FL 33701-3414
(727) 823-2773
(727) 823-9039
Mailing address
238 BEACH DR NE, ST PETERSBURG, FL 33701-3414
(727) 823-2773
(727) 823-9039
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4546
FL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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