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Contact Information

EYESUPPLY
785 N WICKHAM RD
STE. 106
MELBOURNE, FL32935-8857
 Phone: 321-259-3935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Contact Lens Fitter

156FC0801X
 

Optician

156FX1800X 96[5] Optician
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYESUPPLY

NPI Number 1215077557
LBN Legal business name EYESUPPLY
Authorized official EDWARD UCCI - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
FL License # DO3652
FL License # DO5119
FL License # OE1487
FL License # OPC2732
FL Other FL2732 EYEMED
FL Other FL5119 EYEMED
FL Other 29268 SPECTRA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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