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Organization

BREVARD EYE ASSOCIATES

Active
Other names
Brevard Eye Associates B. Carlton Lynn, M.D., P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN CARLTON LYNN JR. M. D. (OWNER)
(321) 636-2722
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME18207
FL

Other

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
Enumeration date
04/18/2007
Last updated
03/07/2023
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