| Organization Name: | BREVARD EYE CENTER |
| NPI Number: | 1124242631 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY R HARDEY (CEO) |
| Mailing Address: | 190 Malabar Rd Sw Suite 105 Palm Bay |
| State: | FL US |
| Postal Code: | 329072937 |
| Phone Number: | 3216740200 |
| Fax Number: | 3216743922 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 06/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |