Organization
BREVARD EYE CENTER
Active
Parent organization
BREVARD EYE CENTER
Other names
Paul J Befanis, MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREVARD EYE CENTER
Authorized official
GARY R HARDEY (CEO)
(321) 984-3200
Entity
Organization
Contact information
Practice address
190 MALABAR RD SW, SUITE 105, PALM BAY, FL 32907-2937
(321) 674-0200
(321) 674-3922
Mailing address
665 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 984-3200
(321) 984-0032
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0539980005
DEMERC PB
—
05
—
086944908
—
FL
01
—
1477503696
NPI TRES
—
01
—
1558456681
NPI GROUP
—
01
—
1942346911
NPI REYNOLDS
—
01
—
1982622981
NPI RIEHL
—
05
—
252338805
—
FL
Enumeration date
04/13/2007
Last updated
06/30/2014
Update your record
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