# BERT MISNER OD & ASSOCIATES, INC

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

## Provider details

- **NPI number:** 1467753152
- **Authorized official:** DR. WILLIAM ALBERT MISNER OD (PRESIDENT)
- **Authorized official phone:** (321) 984-3494

## Contact information

- **Practice address:** 1040 MALABAR RD SE, PALM BAY, FL 32907-3251
- **Practice address phone:** (321) 984-3494
- **Practice address fax:** (321) 723-2056
- **Mailing address:** 1040 MALABAR RD SE, PALM BAY, FL 32907-3251
- **Mailing address phone:** (321) 984-3494
- **Mailing address fax:** (321) 723-2056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC002199 | FL | Yes |

## Other

- **Enumeration date:** 11/11/2010
- **Last updated:** 11/11/2010