Brevard Optometry Associates
NPI 1710057054ActiveOrganization· Optometrist· Melbourne, FL
Optometrist in Melbourne, Florida, registered in NPPES in November 2006. The authorized official on file is Rita E. Jimenez, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710057054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2006 |
| Last updated in NPPES | Feb 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPC1857 | FL |
| Optometrist | 152W00000X | OPC0891 | FL |
| Optometrist | 152W00000X | OPC2189 | FL |
| Optometrist | 152W00000X | OPC2747 | FL |
| Optometrist, Corneal and Contact Management | 152WC0802X | OPC4006 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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