NPIMap

Organization Active NPI

Brevard Eye Center

  • Eyewear Supplier
  • Sebastian, FL
National Provider Identifier
1760607147
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 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
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BREVARD EYE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

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 5

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

Other names 1

  • Paul J Befanis, MD PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Paul J Befanis MD PA9 organizations share this tax ID, including this one
Part of
Paul J Befanis MD PA

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1760607147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S APOLLO BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011485",
            "telephone_number": "321-984-3200",
            "fax_number": "321-984-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583233",
            "telephone_number": "772-581-1300",
            "fax_number": "772-591-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD EYE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREVARD EYE CENTER",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "HARDEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-984-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RIEHL",
            "identifier": "1982622981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REYNOLDS",
            "identifier": "1942346911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC SEB",
            "identifier": "0539980005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1558456681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086944905",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul J Befanis, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.