Brevard Vision Center Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1365 Issued in FL

Legal business name

BREVARD VISION CENTER INC

Practice address

1285 S US Highway 1
Rockledge, FL 32955-2711

Phone

(321) 631-2811

Fax

(321) 631-0624

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Matthew H Vernon

Title

Owner/Optician

Phone

(321) 631-2811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1689852204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 S US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552711",
            "telephone_number": "321-631-2811",
            "fax_number": "321-631-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 S US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552711",
            "telephone_number": "321-631-2811",
            "fax_number": "321-631-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "321-631-2811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.