Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Couzens Stam Domingo PA

Organization Optometrist · NPI 1003955568

Couzens Stam Domingo PA is an Optometrist in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

905 Beach Blvd Ste B
Jacksonville Beach, FL 32250-4303
Phone: (904) 246-4831
Fax: (904) 249-5876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 3453 (FL)

Record details

NPI number1003955568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Stam — President · (904) 246-4831
Other names Beaches Family Eye Care
NPI enumeratedFebruary 5, 2007
Last updated in NPPESNovember 16, 2007
Mailing address905 Beach Blvd, Suite B, Jacksonville Beach, FL 32250-4303

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