OPHTHALMOLOGY CENTER OF BREVARD LP NPI 1164473922

NPI Information

NPI: 1164473922
Provider Name: OPHTHALMOLOGY CENTER OF BREVARD LP
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
:
CLIA Number: 10D0908558
Address: 719 E NEW HAVEN AVE
MELBOURNE, FL
ZIP 32901
Phone: (321) 984-4405

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NPI Details

OPHTHALMOLOGY CENTER OF BREVARD LP is an ambulatory surgical clinic center in Melbourne, FL. OPHTHALMOLOGY CENTER OF BREVARD LP NPI is 1164473922. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

719 E NEW HAVEN AVE
MELBOURNE, FL
ZIP 32901-459
Phone: (321) 984-4405
Fax: (321) 726-4074

The provider's authorized official is David S Weiser .
The authorized official title is President and has the following contact phone number (321) 727-2020.

The CLIA number assigned to this NPI record is 10D0908558 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
Repair of tendon of upper eyelid (HCPCS:67904)
Incision to improve eye fluid flow (HCPCS:65820)
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
Insertion of eye fluid drainage device (HCPCS:66183)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	800009870	FLORIDA	Yes
2	261QA1903X	Clinic/Center	Ambulatory Surgical			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	079091500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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