Express Eyeglass Venture LLC
Organization Active NPI Optometrist · W Melbourne, FL
NPI 1689905937 · NPPES record last updated Jan 27, 2010
Key facts
- NPI
- 1689905937
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC3930 (FL)
- Legal business name
- EXPRESS EYEGLASS VENTURE LLC
- Practice address
- 145 Palm Bay Rd NE
Suite 101
W Melbourne, FL 32904-8601 - Phone
- (321) 953-2020
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Elena Neveux
- Title
- OD
- Phone
- (321) 953-2020
National Provider Directory
Locations
145 Palm Bay Rd NE
Ste 101
West Melbourne, FL 32904
Phone (321) 953-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPC3930 | FL | Yes |
Addresses
Primary practice location
145 Palm Bay Rd NE
Suite 101
W Melbourne, FL 32904-8601
Mailing address
145 Palm Bay Rd NE
Suite 101
W Melbourne, FL 32904-8601
Phone (321) 953-2020
Other providers in W Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.