PHYSICIANS OPTICAL LAB INC NPI 1871686667

NPI Information

  • NPI: 1871686667
  • Provider Name: PHYSICIANS OPTICAL LAB INC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 502 E NEW HAVE AVE
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 722-3715

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NPI Details

PHYSICIANS OPTICAL LAB INC 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. PHYSICIANS OPTICAL LAB INC NPI is 1871686667. The provider is registered as an organization entity type.

The provider's business location address is:

502 E NEW HAVE AVE
MELBOURNE, FL
ZIP 32901-427
Phone: (321) 722-3715
Fax: (321) 722-3187

The provider's authorized official is William J Broussard .
The authorized official title is President and has the following contact phone number (321) 727-2020.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

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

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: 11/21/2025

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