BREVARD EYE CENTER (NPI# 1376959916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376959916 |
| Entity Type | Organization |
| Organization Name | BREVARD EYE CENTER |
| Practice Address |
214 E Marks St Orlando FL 32803-3819 |
| Mailing Address |
665 S Apollo Blvd Melbourne FL 32901-1485 |
| Practice Telephone | 4078416220 |
| Practice Fax Number | 4074232285 |
| Mailing Telephone | 3219843200 |
| Mailing Fax Number | 3219840032 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | MR. GARY R HARDEY (CEO) |
| Authorized Official Telephone | 3219842346 |
| Is Organization Subpart | Y |
| Parent Organization Name | BREVARD EYE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME98468 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073728242 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 1221 S. Patrick Drive, #1364, Patrick Air Force Base, FL 32925-3623 | 2007-05-11 |
| 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 |
| 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 |
214 E MARKS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205993078 | Drs Swanson Sowers Lee & Yager Pa | Optometrist | 214 E Marks St, Orlando, FL 32803-3819 | 2007-01-02 |
| 1942609094 | Medical City Eye Center Pa | Optometrist | 214 E Marks St, Orlando, FL 32803-3819 | 2014-08-14 |
| 1003122276 | Melisa Shannon Hockett | Optometrist | 214 E Marks St, Orlando, FL 32803-3819 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| Find all providers in ORLANDO | ||||
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| 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.