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

Jeremiah Beauvilet, OPTICIAN

Individual provider Optician · NPI 1063047827

Jeremiah Beauvilet, OPTICIAN is an Optician in Cockeysville, Maryland. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

519 Lake Vista Cir Apt I
Cockeysville, MD 21030-5250
Phone: (845) 414-4632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X

Record details

NPI number1063047827
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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