BEACON VISION CENTER INC NPI 1114962677

NPI Information

NPI: 1114962677
Provider Name: BEACON VISION CENTER, INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Doing Business As: BEACON ADVANCED EYECARE
Address: 1320 SHELFER ST
LEESBURG, FL
ZIP 34748
Phone: (352) 728-8318

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NPI Details

BEACON VISION CENTER, INC is an eyewear supplier in Leesburg, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BEACON VISION CENTER, INC NPI is 1114962677. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Advanced Eyecare.

The provider's business location address is:

1320 SHELFER ST
LEESBURG, FL
ZIP 34748-929
Phone: (352) 728-8318
Fax: (352) 728-0057

The provider's authorized official is John J. Naumann .
The authorized official title is Corp Sec and has the following contact phone number (352) 728-8318.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 12/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		1146	FLORIDA	No
2	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	630288200	MEDICAID	FLORIDA
2	0710910001	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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