Brevard Eye Center

NPI #1184849523 in Titusville, Florida

Provider Information

NPI Number: 1184849523
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: Apr 13, 2007
Last Updated: Jun 30, 2014

Practice Location

Address: 1401 S WASHINGTON AVE
City: Titusville
State: Florida
ZIP Code: 32780-4295
Phone: (321) 267-2980

Authorized Official

Name: MR. GARY R HARDEY
Title: CEO
Phone: (321) 984-2346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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