Eyesupply

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OE1487 Issued in FL

Legal business name

EYESUPPLY

Practice address

785 N Wickham Rd
Ste. 106
Melbourne, FL 32935-8857

Phone

(321) 259-3935

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward Ucci, ABOC NCLE

Title

General Manager

Phone

(321) 259-3935

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• 2020 EYEGLASS SUPERSTORE Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215077557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 N WICKHAM RD",
            "address_2": "STE. 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358857",
            "telephone_number": "321-259-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 N WICKHAM RD",
            "address_2": "STE. 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358857",
            "telephone_number": "321-259-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "UCCI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "321-259-3935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC NCLE"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2732",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "FL",
            "license": "DO5119",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "FL",
            "license": "DO3652",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5119",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO3652",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE1487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "FL2732",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTRA",
            "identifier": "29268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "FL5119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2020 EYEGLASS SUPERSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eye Care Associates of Brevard P a
• Eye Doctors Optical Outlets PA
• Eye Institute Surgery Center, LLC
• Eye to Eye Vision PLLC
• Eyecare in Brevard Inc
• Eyewearllc
• F .Matuk M.D.,P.a.
• Facial Surgery Center PA
• Factory Reset Chiropractic and Wellness
• Carol Jeanette Fairchild, ARNP

• Eyewear Supplier in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.