Individual
BRETT REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3830 S HIGHWAY A1A STE 11, MELBOURNE BEACH, FL 32951-3152
(321) 308-2015
(321) 308-2017
Mailing address
3830 S HIGHWAY A1A STE 11, MELBOURNE BEACH, FL 32951-3152
(321) 308-2015
(321) 308-2017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3269
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20933
BCBS
FL
01
—
410043221
RR MEDICARE
—
01
—
410045559
RR MEDICARE
—
Enumeration date
01/29/2007
Last updated
09/29/2008
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