Beach Optical Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

552 Issued in FL

Legal business name

BEACH OPTICAL COMPANY

Practice address

21 12TH St S
Jacksonville Beach, FL 32250-3433

Phone

(904) 249-2166

Fax

(904) 246-2383

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Wayne Mathews, L.D.O.

Title

President

Phone

(904) 221-6319

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1902918535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 12TH ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503433",
            "telephone_number": "904-249-2166",
            "fax_number": "904-246-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 12TH ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503433",
            "telephone_number": "904-249-2166",
            "fax_number": "904-246-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-221-6319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T. Bass Jr., MD
• Jenny Batalla, LMHC
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• Paula Smith Bauer, MSW
• Mark Henry Baughman, PT ATC
• Beaches Acupuncture & Wellness Center
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• Beaches Confident Kids LLC
• Beaches Counseling & Therapy
• Beaches Ear Nose & Throat

• Eyewear Supplier in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.