Brevard Vision Care

LBN: Brevard Optometry Associates
Brevard Vision Care is an health care organization with primary practice located at 2420 S Babcock St , Melbourne FL 32901-5356. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Brevard Optometry Associates can be contacted via phone (321) 725-4755, or through Jimenez, Rita E. via phone (321) 725-4755.

Contact Information

Primary practice address
2420 S Babcock St Melbourne FL 32901-5356
Phone: (321) 725-4755
Fax: (321) 725-5088
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Rita E.
Phone: (321) 725-4755

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1857 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC0891 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC2189 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC2747 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC4006 Florida

Profile Details

NPI number 1710057054
LBN Legal business name Brevard Optometry Associates
DBA Doing business as Brevard Vision Care
Authorized official Jimenez, Rita E.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Feb 13th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710057054 NPPES
Florida MEDICAID 620059100
Florida MEDICAID 621109700
Florida MEDICAID 078627600
Florida MEDICAID 078286600
Florida MEDICAID 078847300

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