# BRANDON EYE ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRANDON EYE ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215969357
- **Authorized official:** MS. MICHELLE FLESHNER (ADMINISTRATOR)
- **Authorized official phone:** (813) 684-2211

## Contact information

- **Practice address:** 540 MEDICAL OAKS AVE, SUITE 103, BRANDON, FL 33511-5995
- **Practice address phone:** (813) 684-2211
- **Practice address fax:** (813) 655-7669
- **Mailing address:** 540 MEDICAL OAKS AVE, SUITE 103, BRANDON, FL 33511-5995
- **Mailing address phone:** (813) 684-2211
- **Mailing address fax:** (813) 655-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 04/25/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 256356800 | — | FL |