Beacon Vision Center, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BEACON VISION CENTER, INC

Doing business as

Beacon Advanced Eyecare

Practice address

1320 Shelfer St
Leesburg, FL 34748-3929

Phone

(352) 728-8318

Fax

(352) 728-0057

NPI assigned

Jun 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John J. Naumann, OPTICIAN

Title

Corp Sec

Phone

(352) 728-8318

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Beacon Advanced Eyecare Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Kevin Berry, O.D., P.A.

  • Optometrist
  • Leesburg, FL
  • NPI 1033390190
  NPD
• Albert Richard Ducharme, O.D.

  • Optometrist
  • Leesburg, FL
  • NPI 1033151394
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1114962677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SHELFER ST",
            "address_2": "BEACON ADVANCED EYE CARE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483929",
            "telephone_number": "352-728-8318",
            "fax_number": "352-728-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SHELFER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483929",
            "telephone_number": "352-728-8318",
            "fax_number": "352-728-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "NAUMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CORP SEC",
        "authorized_official_telephone_number": "352-728-8318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "1146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630288200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Advanced Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherrie Bast
• Jessica Marie Bastian
• Katrina Denise Battle
• Jennifer Dawn Baxley
• Jessica Lee Beach, LCSW
• Mary Kate Beals, LCSW
• Bear Creek Counseling and Trauma Recovery, LLC
• Megan Christine Becker, ARNP
• Bedrock Anesthesia LLC
• Lee Anne Beebe, LCSW

• Eyewear Supplier in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.