NPIMap

Organization Active NPI

Brevard Eye Associates

  • Ophthalmology Physician
  • Rockledge, FL
National Provider Identifier
1568688133
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME18207 Issued in FL
Legal business name
BREVARD EYE ASSOCIATES
Practice address
1264 US Highway 1
Rockledge, FL 32955-2746
Phone
(321) 636-2722
Fax
(321) 632-4109
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Brian Carlton Lynn Jr., M. D.
Title
Owner
Phone
(321) 636-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME18207 FL Primary

Addresses

Primary practice location

1264 US Highway 1
Rockledge, FL 32955-2746

Mailing address

1264 US Highway 1
Rockledge, FL 32955-2746
Phone (321) 636-2722

Other identifiers 5

IdentifierTypeStateIssuer
00412OtherBLUE CROSS BLUE SHIELD
10714580OtherCAQH
05294OtherBLUE CROSS BLUE SHIELD
1739227001OtherCIGNA
5013483OtherAETNA

Other names 1

  • Brevard Eye Associates B. Carlton Lynn, M.D., P.A. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1568688133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552746",
            "telephone_number": "321-636-2722",
            "fax_number": "321-632-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552746",
            "telephone_number": "321-636-2722",
            "fax_number": "321-632-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-636-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME18207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10714580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1739227001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5013483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Eye Associates B. Carlton Lynn, M.D., P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.