PHYSICIANS OPTICAL LAB INC (NPI# 1871686667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871686667 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS OPTICAL LAB INC |
| Practice Address |
502 E New Have Ave Melbourne FL 32901-5427 |
| Practice Telephone | 3217223715 |
| Practice Fax Number | 3217223187 |
| Mailing Telephone | 3217223715 |
| Mailing Fax Number | 3217223187 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM J BROUSSARD (PRESIDENT) |
| Authorized Official Telephone | 3217272020 |
| Authorized Official Credential | MD |
| 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 |
502 E NEW HAVE AVE |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on PHYSICIANS OPTICAL LAB INC.
| 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.