Eyesupply in Melbourne - Contact Lens Fitter

Eyesupply - NPI 1215077557

Eyesupply is a Contact Lens Fitter in Melbourne, Florida. Eyesupply practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Eyesupply is 1215077557. The last update date is 2020-08-22.

Eyesupply's current location address is 785 N Wickham Rd, Melbourne, Florida. You can contact this provider via phone number 3212593935. The mailing address for Eyesupply is 785 N Wickham Rd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eyesupply
Address 785 N Wickham Rd, Melbourne, Florida
Phone Number 3212593935
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GENERAL MA
Authorized Official Name Ucci Edward
Credentials ABOC NCLE
Telephone Number 3212593935

NPI Number Detail

NPI Number 1215077557
Provider Enumeration Date 2007-02-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 785 N Wickham Rd
City Melbourne
State Florida (FL)
Post Code 329358857
Phone Number 3212593935
Fax Number

Provider's Primary Taxonomy Detail

Speciality Contact Lens Fitter
Taxonomy 156Fc0801X
Licence No DO5119
Definition:
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FL2732 FL EYEMED
29268 FL SPECTRA
FL5119 FL EYEMED

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FAQs about Eyesupply

What is the unique identifier code issued to Eyesupply by the Centers for Medicare & Medicaid Services?

The Eyesupply has been assigned the NPI (National Provider Identifier) 1215077557. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Eyesupply?

The Eyesupply is physically situated at 785 N Wickham Rd, in the city of Melbourne, state of FL, with the postal code 329358857.

What is Eyesupply's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Eyesupply is Contact Lens Fitter, and the taxonomy classification code that categorizes this area of expertise is 156Fc0801X.

On what date did the Eyesupply receive its 1215077557 assignment from the Centers for Medicare & Medicaid Services?

The Eyesupply was assigned its 1215077557 by the Centers for Medicare & Medicaid Services on 2007-02-07.

As of what date was the information pertaining to Eyesupply, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Eyesupply, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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