# BREVARD EYE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brevard Eye Associates B. Carlton Lynn, M.D., P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568688133
- **Authorized official:** DR. BRIAN CARLTON LYNN JR. M. D. (OWNER)
- **Authorized official phone:** (321) 636-2722

## Contact information

- **Practice address:** 1264 US HIGHWAY 1, ROCKLEDGE, FL 32955-2746
- **Practice address phone:** (321) 636-2722
- **Practice address fax:** (321) 632-4109
- **Mailing address:** 1264 US HIGHWAY 1, ROCKLEDGE, FL 32955-2746
- **Mailing address phone:** (321) 636-2722
- **Mailing address fax:** (321) 632-4109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME18207 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00412 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 05294 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 10714580 | CAQH | — |
| 01 | — | 1739227001 | CIGNA | — |
| 01 | — | 5013483 | AETNA | — |