BEACH DRIVE OPTICAL (NPI# 1275609471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275609471 |
| Entity Type | Organization |
| Organization Name | BEACH DRIVE OPTICAL |
| Practice Address |
238 Beach Dr Ne St Petersburg FL 33701-3414 |
| Practice Telephone | 7278232773 |
| Practice Fax Number | 7278239039 |
| Mailing Telephone | 7278232773 |
| Mailing Fax Number | 7278239039 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KAREN SIMMONS (MANAGER) |
| Authorized Official Telephone | 7278232773 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4546 | FL | Eye and Vision Services Providers |
| Street Address |
238 BEACH DR NE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962672410 | Jeffrey T Payne | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-03-11 |
| 1316154164 | Optimart, Inc. | Technician/Technologist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-17 |
| 1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
| 1184083321 | National Vision, Inc. | Technician/Technologist | 3520 4th St N, St Petersburg, FL 33704 | 2016-02-16 |
| 1346652146 | Sarita Ledsome | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2014-05-28 |
| 1972920718 | Wal-mart Stores East, Lp | Technician/Technologist | 10237 Bay Pines Blvd, St Petersburg, FL 33708-3131 | 2014-03-18 |
| 1649562489 | Paula Jayne Boisclair | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2011-05-12 |
| 1053616201 | Vaughn Rae Meiners | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2011-01-19 |
| 1326285594 | James Elias Lambrou | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2009-01-09 |
| 1285800284 | Stephanie Michelle Hendrix | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-04-30 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on BEACH DRIVE OPTICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.