BREVARD EYE CENTER (NPI# 1073728242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073728242 |
| Entity Type | Organization |
| Organization Name | BREVARD EYE CENTER |
| Other Organization Name | PAUL J BEFANIS MD PA |
| Practice Address |
1221 S. Patrick Drive #1364 Patrick Air Force Base FL 32925-3623 |
| Mailing Address |
665 S Apollo Blvd Melbourne FL 32901-1485 |
| Practice Telephone | 3217838820 |
| Practice Fax Number | 3217838962 |
| Mailing Telephone | 3219843200 |
| Mailing Fax Number | 3219840032 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | MR. GARY R HARDEY (CEO) |
| Authorized Official Telephone | 3219843200 |
| Is Organization Subpart | Y |
| Parent Organization Name | BREVARD EYE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Paul J Befanis MD PA | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548484066 | Brevard Eye Center | Optometrist | 7775 N Wickham Rd, Melbourne, FL 32940-7914 | 2007-04-13 |
| 1760607147 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 14120 Us Highway 1, Sebastian, FL 32958-3233 | 2007-04-13 |
| 1184849523 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 1401 S Washington Ave, Titusville, FL 32780-4295 | 2007-04-13 |
| 1376959916 | Brevard Eye Center | Specialist | 214 E Marks St, Orlando, FL 32803-3819 | 2014-07-03 |
| 1720294093 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 7777 N Wickham Rd, Melbourne, FL 32940-7976 | 2007-05-15 |
| 1194940569 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 250 N Courtenay Pkwy, Merritt Island, FL 32953-3495 | 2007-04-13 |
| 1124242631 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 190 Malabar Rd Sw, Suite 105, Palm Bay, FL 32907-2937 | 2007-04-13 |
| Street Address |
1221 S. PATRICK DRIVE #1364 |
| City | PATRICK AIR FORCE BASE |
| State | FL |
| Zip Code | 32925-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966277 | Amer B Alnaqeeb | Physician Assistant | 1381 S. Patrick Drive, 45th Mdg, Patrick Afb, FL 32925 | 2017-08-01 |
| 1871943878 | Stephen Chase | Social Worker | 45 Mdos/ Sgow, 1370 South Patrick Dr, Patrick Afb, FL 32925 | 2016-06-21 |
| 1063819225 | Calvin Williams | Physician Assistant | 1381 S. Patrick Drive, 45th Medical Group, Patrick Afb, FL 32925 | 2014-12-03 |
| 1427335694 | Emily Sue Burrows | Physician Assistant | 45th Medical Group, 1381 S. Patrick Dr., Patrick Air Force Base, FL 32925 | 2011-11-15 |
| 1215072681 | Joseph Edward Cheries | Psychologist | 45 Mdos/sgow, 1370 South Patrick Drive, Patrick Afb, FL 32925 | 2007-02-21 |
| 1760520035 | Tiffany M Ingham | Anesthesiology | 1368 Old Mace Rd, Patrick Afb, FL 32925 | 2007-02-01 |
| 1801946645 | Catherine M. Callender | Psychologist | 1370 S. Patrick Drive, 20 Mdg-sgoh, Patrick Afb, FL 32925 | 2007-01-12 |
| 1912936238 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | S. Patrick Dr., Building 1364, Patrick Afb, FL 32925 | 2006-06-30 |
| 1023085255 | Wade J Bravo | Physician Assistant | 1381 S Patrick Drive, 45th Medical Group, Patrick Afb, FL 32925 | 2006-03-07 |
| 1891785663 | Arthur Carrizales | Family Medicine | 1381 South Patrick Drive, Patrick Health Care Clinic, Patrick Afb, FL 32925 | 2005-10-24 |
| Find all providers in zip 32925 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
| 1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
| 1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | PATRICK AIR FORCE BASE |
| Zip Code | 32925 |
Please comment or provide details below to improve the information on BREVARD EYE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.