Brevard Optometry Associates

NPI #1710057054 in Melbourne, Florida

Provider Information

NPI Number: 1710057054
Entity Type: Organization
Organization Name: Brevard Optometry Associates
Primary Specialty: Optometrist
Enumeration Date: Nov 8, 2006
Last Updated: Feb 13, 2008

Practice Location

Address: 2420 S BABCOCK ST
City: Melbourne
State: Florida
ZIP Code: 32901-5356
Phone: (321) 725-4755

Authorized Official

Name: MS. RITA E. JIMENEZ
Title: PRACTICE MANAGER
Phone: (321) 725-4755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X

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