OrganizationActive
Couzens Stam Domingo PA
NPI 1003955568 · Optometrist · Jacksonville Beach, FL
Provider details
- NPI number
- 1003955568
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Bryan Stam, President(904) 246-4831
- License
- OPC 3453 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
905 Beach Blvd
Suite B
Jacksonville Beach, FL 32250-4303
Phone: (904) 246-4831
Fax: (904) 249-5876
Approximate (ZIP-level) locationGet directions
Mailing address
905 Beach Blvd
Jacksonville Beach, FL 32250-4303
Other names (DBA / former)
- Doing business as
- Beaches Family Eye Care
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2007-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.