Beach Vision Holdings, PA
NPI #1346516747 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1346516747
- Entity Type
- Organization
- Organization Name
- Beach Vision Holdings, PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 29, 2012
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 103 FAULKNER ST
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168-7017
- Phone
- (396) 423-7788
Authorized Official
- Name
- SUSAN SIMPSON SULLENBERGER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (386) 547-1549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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