Brevard Eye Center in Melbourne - Eyewear Supplier

Brevard Eye Center - NPI 1124242631

Brevard Eye Center is a Eyewear Supplier in Melbourne, Florida. Brevard Eye Center practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Brevard Eye Center is 1124242631. The last update date is 2014-06-30.

Brevard Eye Center's current location address is 665 S Apollo Blvd, Melbourne, Florida. You can contact this provider via phone number 3219843200 and fax number 3219840032. The mailing address for Brevard Eye Center is 665 S Apollo Blvd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brevard Eye Center
Address 665 S Apollo Blvd, Melbourne, Florida
Phone Number 3219843200
Fax Number 3219840032
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Hardey R Gary
Telephone Number 3219843200

NPI Number Detail

NPI Number 1124242631
Provider Enumeration Date 2007-04-13
Last Updated Date 2014-06-30

Provider Mailing Address Detail

Address 665 S Apollo Blvd
City Melbourne
State Florida (FL)
Post Code 329011485
Phone Number 3219843200
Fax Number 3219840032

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
86944908 FL --
1558456681 NPI GROUP
539980005 DEMERC PB
1982622981 NPI RIEHL
252338805 FL --
1477503696 NPI TRES
1942346911 NPI REYNOLDS

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FAQs about Brevard Eye Center

What is the unique identifier code issued to Brevard Eye Center by the Centers for Medicare & Medicaid Services (CMS)?

The Brevard Eye Center has been assigned the NPI (National Provider Identifier) 1124242631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Brevard Eye Center is located?

The Brevard Eye Center is situated at the following address: 665 S Apollo Blvd, Melbourne, FL, 329011485.

What is Brevard Eye Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Brevard Eye Center is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124242631 to Brevard Eye Center?

The Centers for Medicare & Medicaid Services originally issued the 1124242631 to Brevard Eye Center on 2007-04-13.

When was the information regarding Brevard Eye Center most recently updated?

The details pertaining to the Brevard Eye Center, including its address, specialty, and other relevant information, were last refreshed on 2014-06-30.

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