EYEWEARLLC (NPI# 1518054956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518054956 |
| Entity Type | Organization |
| Organization Name | EYEWEARLLC |
| Practice Address |
1995 W Nasa Blvd Suite 101 Melbourne FL 32904-2300 |
| Mailing Address |
1995 W Nasa Blvd Suite 200 Melbourne FL 32904-2300 |
| Practice Telephone | 3217224443 |
| Practice Fax Number | 3217222334 |
| Mailing Telephone | 3217224443 |
| Mailing Fax Number | 3217222334 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL N MANDESE (OWNER) |
| Authorized Official Telephone | 3217224443 |
| Authorized Official Credential | O.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
1995 W NASA BLVD SUITE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514053 | James N Mcmanus | Ophthalmology | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-10-31 |
| 1194158337 | Eric Robert Straut | Optometrist | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2013-08-12 |
| 1396080859 | Kyle E. Welton | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2012-12-10 |
| 1134459928 | The Center for Hearing Improvement At The Eye Institute | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2009-12-30 |
| 1114037520 | Judy Lynn Buse | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-08-30 |
| 1013027408 | David Mccurdy | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-08-30 |
| 1548274061 | Eye Institute Surgery Center, LLC | Clinic/Center | 1995 W Nasa Blvd, Suite100, Melbourne, FL 32904-2300 | 2006-07-28 |
| 1962416511 | Florida Eye Consultants Inc | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-07-28 |
| 1720079577 | Michael N Mandese | Optometrist | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-11-01 |
| 1073504957 | Christopher S Shumake | Ophthalmology | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1295889384 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 928 W. New Haven Avenue, Melbourne, FL 32901 | 2007-01-23 |
| 1649323593 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1155 Palm Bay Rd, Melbourne, FL 32901 | 2007-01-22 |
| 1356415780 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1050 S Babcock St, Melbourne, FL 32901-3022 | 2006-11-18 |
| 1871686667 | Physicians Optical Lab Inc | Eyewear Supplier (Equipment, not the service) | 502 E New Have Ave, Melbourne, FL 32901-5427 | 2006-10-02 |
| 1144236308 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1700 West New Haven Ave, Melbourne, FL 32904 | 2006-07-31 |
| 1275854077 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 1050 S Babcock St, Melbourne, FL 32901-3022 | 2010-06-15 |
| 1720294093 | Brevard Eye Center | Eyewear Supplier (Equipment, not the service) | 7777 N Wickham Rd, Melbourne, FL 32940-7976 | 2007-05-15 |
| 1790901700 | Brevard Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2007-04-18 |
| 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 |
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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.