# BREVARD EYE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255702841
- **Authorized official:** DR. RAFAEL TRESPALACIOS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (321) 726-5984

## Contact information

- **Practice address:** 665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
- **Practice address phone:** (321) 726-5984
- **Practice address fax:** (321) 984-2620
- **Mailing address:** 1851 KNOX MCRAE DR, TITUSVILLE, FL 32780-5492
- **Mailing address phone:** (321) 269-3056
- **Mailing address fax:** (321) 984-2620

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015