NPIMap

Organization Active NPI

Paul J Befanis MD PA

Doing business as Brevard Eye Center

  • Eyewear Supplier
  • Palm Bay, FL
National Provider Identifier
1811103187
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PAUL J BEFANIS MD PA
Doing business as
Brevard Eye Center
Practice address
160 Malabar Rd SW
Suite 105
Palm Bay, FL 32907-2911
Phone
(321) 674-0200
Fax
(321) 674-3922
NPI assigned
May 15, 2007
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PAUL J BEFANIS MD PA DBA BREVARD EYE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Paul J Befanis, M.D.NPI 1346288784
Title
Owner
Phone
(321) 984-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

160 Malabar Rd SW
Suite 105
Palm Bay, FL 32907-2911

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
252338805MedicaidFL
086944908MedicaidFL

Other names 1

  • Brevard Eye Center Doing business as

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.

Locations

160 Malabar Rd SW
Ste 105
Palm Bay, FL 32907
Phone (321) 674-0200

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1811103187",
    "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": "160 MALABAR RD SW",
            "address_2": "SUITE 105",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072911",
            "telephone_number": "321-674-0200",
            "fax_number": "321-674-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J BEFANIS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAUL J BEFANIS MD PA DBA BREVARD EYE CENTER",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BEFANIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-984-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252338805",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086944908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.