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Organization

EYE CARE ASSOCIATES OF BREVARD P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNE GREGAS OD (PRESIDENT)
(321) 253-3550
Entity
Organization

Contact information

Practice address
3200 N WICKHAM RD, SUITE #1, MELBOURNE, FL 32935-2321
(321) 253-3550
(321) 253-3591
Mailing address
3200 N WICKHAM RD, SUITE #1, MELBOURNE, FL 32935-2321
(321) 253-3550
(321) 253-3591

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP2715
FL
152W00000X
Optometrist
Primary
OP2792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620058300
FL
Enumeration date
10/22/2008
Last updated
07/14/2015
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