# BRETT C REYNOLDS OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Driftwood Vision Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306024286
- **Authorized official:** BRETT COURTNEY REYNOLDS (PRESIDENT)
- **Authorized official phone:** (321) 308-2015

## Contact information

- **Practice address:** 3830 S HIGHWAY A1A, UNIT 11, MELBOURNE BEACH, FL 32951-3143
- **Practice address phone:** (321) 308-2015
- **Practice address fax:** (321) 308-2017
- **Mailing address:** 3830 S HIGHWAY A1A, UNIT 11, MELBOURNE BEACH, FL 32951-3143
- **Mailing address phone:** (321) 308-2015
- **Mailing address fax:** (321) 308-2017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3269 | FL | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 05/15/2008