Beaches Eye Center, Pa

LBN: Beaches Eye Center, Pa
Beaches Eye Center, Pa is an health care organization with primary practice located at 1351 13Th Ave S Suite 120-A, Jacksonville Beach FL 32250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Beaches Eye Center, Pa can be contacted via phone (904) 246-3937, or through Ten Hulzen, Richard Dwight via phone (904) 246-3937.

Contact Information

Primary practice address
1351 13Th Ave S Suite 120-A Jacksonville Beach FL 32250
Phone: (904) 246-3937
Fax: (904) 242-0415
Website:
Map and Directions
Authorized official contact:
Name: Ten Hulzen, Richard Dwight Doctor of Medicine (MD)
Phone: (904) 246-3937

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0080332 Florida

Profile Details

NPI number 1528393717
LBN Legal business name Beaches Eye Center, Pa
DBA Doing business as
Authorized official Ten Hulzen, Richard Dwight Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2009
Last updated Aug 1st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528393717 NPPES
Florida MEDICAID 258859500

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