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BEACH VISION HOLDINGS, PA
NPI 1346516747
Optometrist in New Smyrna Beach, FL

Active since March 29, 2012
103 FAULKNER ST, NEW SMYRNA BEACH, FL 32168(396) 423-7788(386) 423-0035 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beach Vision Holdings, Pa NPPES

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

BEACH VISION HOLDINGS, PA (NPI 1346516747), doing business as Charles D Register Od, Pa, is a healthcare organization registered as an optometrist in New Smyrna Beach, Florida and active in the NPI registry since March 2012. The organization lists Susan Simpson Sullenberger, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1346516747
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBEACH VISION HOLDINGS, PA
Location Address103 FAULKNER STNew Smyrna Beach, FL 32168-7017
Mailing Address103 Faulkner StNew Smyrna Beach, FL 32168-7017 · (396) 423-7788 · Fax (386) 423-0035
Phone(396) 423-7788
Fax(386) 423-0035
Organization SubpartNo
Authorized OfficialSusan Simpson SullenbergerAuthorized Official · (386) 547-1549
Enumeration DateMarch 29, 2012
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1346516747 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 1689
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.
103 FAULKNER ST, New Smyrna Beach, FL 32168
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Other Names 2

Former Legal Business NameCharles D Register Od, Pa
Doing Business AsBeach Vision Center

Other Identifiers 1

Medicaid078276900FL

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Beach Vision Center carries, from the Medicare DMEPOS supplier directory.

Beach Vision Center

DMEPOS supplier · New Smyrna Beach, FLOperated by Charles D Register Od, PA
⋮

Does not accept Medicare assignment

Beach Vision Center has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20673827
Medicare Participant SinceJuly 9, 1990
Supplier Location103 Faulkner StNew Smyrna Beach, FL 32168
Phone(386) 423-7788
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES D REGISTER OD
Optometrist
103 FAULKNER ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 423-7788

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 Beach Vision Holdings, PA's NPI number?

The NPI number for Beach Vision Holdings, PA is 1346516747. It was assigned to this organization in the NPPES registry on March 29, 2012. The provider is doing business as Beach Vision Center. The provider was formerly known as Charles D Register Od, PA.

Where is Beach Vision Holdings, PA located?

Beach Vision Holdings, PA is located at 103 Faulkner St, New Smyrna Beach, FL 32168. The listed phone number is (396) 423-7788.

What is Beach Vision Holdings, PA's specialty?

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

Does Beach Vision Holdings, PA accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Beach Vision Center does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Beach Vision Holdings, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Beach Vision Holdings, 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 Beach Vision Holdings, PA was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.