# MEDICAL CITY EYE CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BREVARD EYE CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942609094
- **Legal business name:** BREVARD EYE CENTER INC
- **Authorized official:** MR. GARY R HARDEY (CEO)
- **Authorized official phone:** (321) 984-3200

## Contact information

- **Practice address:** 214 E MARKS ST, ORLANDO, FL 32803-3819
- **Practice address phone:** (407) 841-6220
- **Practice address fax:** (407) 423-2285
- **Mailing address:** 214 E MARKS ST, ORLANDO, FL 32803-3819
- **Mailing address phone:** (407) 841-6220
- **Mailing address fax:** (407) 423-2285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OPC1134 | FL | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014