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Brevard Eye Center

Organization Active NPI Eyewear Supplier · Sebastian, FL

NPI 1760607147 · NPPES record last updated Jun 30, 2014

Key facts

NPI
1760607147
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
BREVARD EYE CENTER
Practice address
14120 US Highway 1
Sebastian, FL 32958-3233
Phone
(772) 581-1300
Fax
(772) 591-1301
NPI assigned
Apr 13, 2007
Organization subpart
Yes
Parent organization (as reported)
BREVARD EYE CENTER

Authorized official

Name
Mr. Gary R Hardey, M.D.
Title
Owner
Phone
(321) 984-3200

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Paul J Befanis MD PA (9 organizations share this tax ID)
Part of
Paul J Befanis MD PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

14120 US Highway 1
Sebastian, FL 32958-3233

Mailing address

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 984-3200

Other identifiers

IdentifierTypeStateIssuer
1942346911OtherNPI REYNOLDS
1558456681OtherNPI GROUP
086944905MedicaidFL
1982622981OtherNPI RIEHL
0539980005OtherDEMERC SEB

Other names

  • Paul J Befanis, MD PA Former legal business name

Other providers in Sebastian, FL

All providers in Sebastian, FL · Eyewear Supplier in Florida

Sources for this page

Verify at the official NPI Registry.