Brevard Eye Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BREVARD EYE CENTER

Practice address

190 Malabar Rd SW
Suite 105
Palm Bay, FL 32907-2937

Phone

(321) 674-0200

Fax

(321) 674-3922

NPI assigned

Apr 13, 2007

Organization subpart

Yes

Parent organization

BREVARD EYE CENTERAs reported in NPPES

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

Authorized official

Name

Gary R Hardey

Title

Ceo

Phone

(321) 984-3200

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Paul J Befanis, MD PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Brevard Eye Center

  • Eyewear Supplier
  • Merritt Island, FL
  • NPI 1194940569

  O20040108000642

  Same enrollment
• Brevard Eye Center

  • Eyewear Supplier
  • Melbourne, FL
  • NPI 1548484066

  O20040108000642

  Same enrollment
• Brevard Eye Center, Inc

  • Ophthalmology Physician
  • Melbourne, FL
  • NPI 1558456681

  O20040108000642

  Same enrollment

Part of

Paul J Befanis MD PA

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1124242631",
    "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": "190 MALABAR RD SW",
            "address_2": "SUITE 105",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072937",
            "telephone_number": "321-674-0200",
            "fax_number": "321-674-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD EYE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREVARD EYE CENTER",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-06-30",
        "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"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086944908",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1558456681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC PB",
            "identifier": "0539980005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RIEHL",
            "identifier": "1982622981",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252338805",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TRES",
            "identifier": "1477503696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REYNOLDS",
            "identifier": "1942346911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul J Befanis, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brainworks Functional Neurology and Chiropractic Center
• Karen M Bransky, APRN
• Brinda J Braswell
• Doreen Elizabeth Bremer, RPH
• Brevard Best Care, Inc.
• Brevard Health Alliance
• Brevard Health Alliance Inc
• Brevard Health Alliance Inc
• Brevard Health Alliance Inc
• Brevard Health Alliance Inc

• Eyewear Supplier in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.