Organization
BREVARD VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW H VERNON (OWNER/OPTICIAN)
(321) 631-2811
Entity
Organization
Contact information
Practice address
1285 S US HIGHWAY 1, ROCKLEDGE, FL 32955-2711
(321) 631-2811
(321) 631-0624
Mailing address
1285 S US HIGHWAY 1, ROCKLEDGE, FL 32955-2711
(321) 631-2811
(321) 631-0624
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1365
FL
Other
Enumeration date
02/06/2008
Last updated
05/28/2008
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