Provider Demographics
NPI:1639708092
Name:BEACHVIEW VISION INC.
Entity type:Organization
Organization Name:BEACHVIEW VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARR
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:941-786-9733
Mailing Address - Street 1:543 US HIGHWAY 41 BYP N
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-6040
Mailing Address - Country:US
Mailing Address - Phone:941-786-9733
Mailing Address - Fax:941-800-4960
Practice Address - Street 1:543 US HIGHWAY 41 BYP N
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-6040
Practice Address - Country:US
Practice Address - Phone:941-786-9733
Practice Address - Fax:941-800-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier