BREVARD EYE CENTER


Address: 7775 N Wickham Rd, Melbourne, FL 32940-7914
Phone: 3219843200

BREVARD EYE CENTER (NPI# 1548484066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548484066
Entity Type Organization
Organization Name BREVARD EYE CENTER
Other Organization Name PAUL J BEFANIS, MD, PA
Practice Address 7775 N Wickham Rd
Melbourne
FL 32940-7914
Mailing Address 665 S Apollo Blvd
Melbourne
FL 32901-1485
Practice Telephone 3219843200
Practice Fax Number 3212551141
Mailing Telephone 3219843200
Mailing Fax Number 3219840032
Enumeration Date 2007-04-13
Last Update Date 2016-08-09
Authorized Official Name MR. GARY R HARDEY (CEO)
Authorized Official Telephone 3219843200
Is Organization Subpart Y
Parent Organization Name BREVARD EYE CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist Eye and Vision Services Providers
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 086944909 05
NPI DELATORRE 1003075730 01
NPI REYNOLDS 1942346911 01
NPI TRES 1477503696 01
DEMERC ST 0539980004 01
NPI MINTCHELL 1619915105 01
NPI GROUP 1558456681 01
FL 252338806 05

Other Provider/Organization Names

Other Name Type Code
Paul J Befanis, MD, PA Former Legal Business Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 7775 N WICKHAM RD
City MELBOURNE
State FL
Zip Code 32940-7914

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1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
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1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

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
1518054956 Eyewearllc Eyewear Supplier (Equipment, not the service) 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 2006-10-06

Providers in the same taxonomy and state

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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Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

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.

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