Brevard Eye Center
NPI #1073728242 in Patrick Air Force Base, Florida
Provider Information
- NPI Number
- 1073728242
- Entity Type
- Organization
- Organization Name
- Brevard Eye Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BREVARD EYE CENTER
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 11, 2007
- Last Updated
- Jun 30, 2014
Practice Location
- Address
- 1221 S. PATRICK DRIVE
- Address 2
- #1364
- State
- Florida
- ZIP Code
- 32925-3623
- Phone
- (321) 783-8820
Authorized Official
- Name
- MR. GARY R HARDEY
- Title
- CEO
- Phone
- (321) 984-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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