Eye Care Associates of Brevard P a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2792 Issued in FL

Legal business name

EYE CARE ASSOCIATES OF BREVARD P A

Practice address

3200 N Wickham Rd
Suite #1
Melbourne, FL 32935-2321

Phone

(321) 253-3550

Fax

(321) 253-3591

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anne Gregas, OD

Title

President

Phone

(321) 253-3550

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1528210481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N WICKHAM RD",
            "address_2": "SUITE #1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352321",
            "telephone_number": "321-253-3550",
            "fax_number": "321-253-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N WICKHAM RD",
            "address_2": "SUITE #1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352321",
            "telephone_number": "321-253-3550",
            "fax_number": "321-253-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF BREVARD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "GREGAS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-253-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2792",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620058300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.