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BEACHES FAMILY EYE CARE
NPI 1003955568
Optometrist in Jacksonville Beach, FL

Active since February 05, 2007
905 BEACH BLVD, SUITE B, JACKSONVILLE BEACH, FL 32250(904) 246-4831(904) 249-5876 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beaches Family Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACHES FAMILY EYE CARE (NPI 1003955568) is a healthcare organization registered as an optometrist in Jacksonville Beach, Florida and active in the NPI registry since February 2007. The organization lists Bryan Andrew Stam, President, as its authorized official.

NPPES Registry Identity

NPI1003955568
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOUZENS STAM DOMINGO PA
Location Address905 BEACH BLVD, SUITE BJacksonville Beach, FL 32250-4303
Mailing Address905 Beach Blvd, Suite BJacksonville Beach, FL 32250-4303 · (904) 246-4831 · Fax (904) 249-5876
Phone(904) 246-4831
Fax(904) 249-5876
Organization SubpartNo
Authorized OfficialBryan Andrew StamPresident · (904) 246-4831
Enumeration DateFebruary 5, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1003955568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC 3453
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
905 BEACH BLVD, Jacksonville Beach, FL 32250
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Other Names 1

Doing Business AsBeaches Family Eye Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaches Family Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beaches Family Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Stam, O.D.
Optometry
NPI 1245239581
10915 BAYMEADOWS RD STE 110
Jacksonville, FL 32256
(904) 647-9655
✔ PECOS✔ Accepts Medicare8.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Couzens Stam Domingo PA's NPI number?

The NPI number for Couzens Stam Domingo PA is 1003955568. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Beaches Family Eye Care.

Where is Couzens Stam Domingo PA located?

Couzens Stam Domingo PA is located at 905 Beach Blvd Suite B, Jacksonville Beach, FL 32250. The listed phone number is (904) 246-4831.

What is Couzens Stam Domingo PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Couzens Stam Domingo PA enrolled in Medicare?

Yes. Couzens Stam Domingo PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Couzens Stam Domingo PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Couzens Stam Domingo PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Couzens Stam Domingo PA accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Oscar Health Maintenance Organization of Florida list Couzens Stam Domingo PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Couzens Stam Domingo PA was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.