NPIMap

Organization Active NPI

Brevard Eye Center Inc

  • Optometrist
  • Orlando, FL
National Provider Identifier
1093142986
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BREVARD EYE CENTER INC
Practice address
13848 Narcoossee Rd
Suite A104
Orlando, FL 32832-6963
Phone
(321) 984-3200
Fax
(321) 984-0032
NPI assigned
Oct 9, 2013
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BREVARD EYE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary R Hardey, CEO
Title
Ceo
Phone
(321) 984-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FL Primary

Addresses

Primary practice location

13848 Narcoossee Rd
Suite A104
Orlando, FL 32832-6963

Mailing address

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 984-3200

Other identifiers 1

IdentifierTypeStateIssuer
1558456681OtherFLGROUP NPI

Other names 1

  • Paul J Befanis, MD PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Paul J Befanis MD PA9 organizations share this tax ID, including this one
Part of
Paul J Befanis MD PA

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13848 Narcoossee Rd
Ste A104
Orlando, FL 32832
Phone (321) 984-3200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1093142986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S APOLLO BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011485",
            "telephone_number": "321-984-3200",
            "fax_number": "321-984-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 NARCOOSSEE RD",
            "address_2": "SUITE A104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326963",
            "telephone_number": "321-984-3200",
            "fax_number": "321-984-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD EYE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREVARD EYE CENTER INC",
        "enumeration_date": "2013-10-09",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HARDEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-984-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1558456681",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul J Befanis, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.