BREVARD EYE CENTER NPI 1720294093

NPI Information

  • NPI: 1720294093
  • Provider Name: BREVARD EYE CENTER
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Former Legal Business Name: PAUL J BEFANIS MD PA
  • Address: 7777 N WICKHAM RD
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 984-3200

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NPI Details

BREVARD EYE CENTER is an eyewear supplier in Melbourne, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BREVARD EYE CENTER NPI is 1720294093. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Paul J Befanis Md Pa.

The provider's business location address is:

7777 N WICKHAM RD
MELBOURNE, FL
ZIP 32940-976
Phone: (321) 984-3200
Fax: (321) 255-1141

The provider's authorized official is Gary R Hardey .
The authorized official title is Ceo and has the following contact phone number (321) 984-3200.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/30/2014.

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
1332H00000XEyewear SupplierYes

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
10539980004OTHERDEMERC ST
2252338804MEDICAIDFLORIDA
31942346911OTHERNPI REYNOLDS
4086944902MEDICAIDFLORIDA
51558456681OTHERNPI GROUP
61003075730OTHERNPI DELATORRE
71477503696OTHERNPI TRES
81619915105OTHERNPI MINTCHELL
924403MEDICARE PINFLORIDA

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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