Eye Centers Of Brevard, Llc

NPI 1396813143 - Optometrist - 152W00000X

NPI Details
NPI 1396813143
Enumeration Date 12/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RAYMOND RAYMOND
Position OWNER
Phone (321) 726-6551
Fax
Practice Location
2229 W NEW HAVEN AVE
W MELBOURNE FL, 32904-3805, US
Phone (321) 726-6551
Fax
Business Location
2229 W NEW HAVEN AVE
W MELBOURNE FL, 32904-3805, US
Phone (321) 726-6551
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number 2898
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According to our database, Eye Centers Of Brevard, Llc NPI is 1396813143, taxonomy code is 152W00000X and license number is 2898, license state is located at Florida. Eye Centers Of Brevard, Llc physically located at 2229 W New Haven Ave, W Melbourne FL, 32904-3805. NPI Number 1033115704 has the healthcare provider type.

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1396813143 NPI number is provided on an as is basis without warranty of any kind. 1396813143 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Centers Of Brevard, Llc are for informational purposes only.