Organization
BEACH VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BEACH OD (OWNER/OPTOMETRIST)
(937) 547-9012
Entity
Organization
Contact information
Practice address
1501 WAGNER AVE, GREENVILLE, OH 45331-2763
(937) 547-9012
(937) 547-9361
Mailing address
1501 WAGNER AVE, GREENVILLE, OH 45331-2763
(937) 547-9012
(937) 547-9361
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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