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Organization

BEACH OPTICAL COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTHUR WAYNE MATHEWS L.D.O. (PRESIDENT)
(904) 221-6319
Entity
Organization

Contact information

Practice address
21 12TH ST S, JACKSONVILLE BEACH, FL 32250-3433
(904) 249-2166
(904) 246-2383
Mailing address
21 12TH ST S, JACKSONVILLE BEACH, FL 32250-3433
(904) 249-2166
(904) 246-2383

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
552
FL

Other

Enumeration date
08/31/2006
Last updated
01/31/2008
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