| NPI | 1649215104 |
|---|---|
| Doing Business As | BEACON ADVANCED EYECARE |
| Entity Type | Organization |
| Authorized Contact | JOHN J. NAUMANN Corp Sec 352-728-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 2109) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-12-18 |