BREVARD EYE CENTER (NPI# 1720294093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720294093 |
| Entity Type | Organization |
| Organization Name | BREVARD EYE CENTER |
| Other Organization Name | PAUL J BEFANIS MD PA |
| Practice Address |
7777 N Wickham Rd Melbourne FL 32940-7976 |
| 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 | 2007-05-15 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI DELATORRE | 1003075730 | 01 | |
| NPI TRES | 1477503696 | 01 | |
| NPI GROUP | 1558456681 | 01 | |
| DEMERC ST | 0539980004 | 01 | |
| NPI MINTCHELL | 1619915105 | 01 | |
| FL | 086944902 | 05 | |
| FL | 252338804 | 05 | |
| NPI REYNOLDS | 1942346911 | 01 |
| Other Name | Type Code |
|---|---|
| Paul J Befanis MD PA | Former Legal Business Name - Organization |
| 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 |
| 1376959916 | Brevard Eye Center | Specialist | 214 E Marks St, Orlando, FL 32803-3819 | 2014-07-03 |
| 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 |
7777 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-7976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423796 | Brandon C Nguyen | Dentist | 7777 N Wickham Rd, Unit 4, Melbourne, FL 32940-7976 | 2006-03-29 |
| 1467002428 | Brianna Glenn | Pharmacist | 7777 N Wickham Rd, Melbourne, FL 32940-7976 | 2019-09-12 |
| 1730556358 | Mohammed Khattari | Dentist | 7777 N Wickham Rd, Suite 4, Melbourne, FL 32940-7976 | 2015-08-31 |
| 1871830455 | Thomas E Ball | Pharmacist | 7777 N Wickham Rd, Melbourne, FL 32940-7976 | 2013-01-15 |
| 1760727739 | Beatrice Mccabe | Hearing Instrument Specialist | 7777 N Wickham Rd, Ste 21, Melbourne, FL 32940-7976 | 2012-12-03 |
| 1316282387 | Mark Kubilus | Hearing Instrument Specialist | 7777 N Wickham Rd, Ste 21, Melbourne, FL 32940-7976 | 2012-12-03 |
| 1740525716 | Glenn Oberbeck | Hearing Instrument Specialist | 7777 N Wickham Rd, Ste 21, Melbourne, FL 32940-7976 | 2012-12-03 |
| 1225222789 | Catherine Cowan-oberbeck | Audiologist | 7777 N Wickham Rd, Ste 21, Melbourne, FL 32940-7976 | 2007-08-28 |
| 1740407030 | Matthew Kevin Rand | Dentist | 7777 N Wickham Rd, Suite 4, Melbourne, FL 32940-7976 | 2007-04-19 |
| 1144331265 | David Spector | Dentist | 7777 N Wickham Rd, Suite 4, Melbourne, FL 32940-7976 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
| 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 |
| 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.