Organization · Type 2 NPI

Eyesupply

Eyewear Supplier · Melbourne, FL

NPI number 1215077557 Active

Practice location

785 N Wickham Rd, Ste. 106
Melbourne, FL 32935-8857

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XOPC2732 (FL)
Contact Lens Fitter 156FC0801XDO5119 (FL)
Contact Lens Fitter 156FC0801XDO3652 (FL)
Optician 156FX1800XDO5119 (FL)
Optician 156FX1800XDO3652 (FL)
Eyewear Supplier Primary 332H00000XOE1487 (FL)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1215077557

Eyesupply's National Provider Identifier is 1215077557, issued on Feb 7, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Melbourne, FL. The record was last updated on Sep 11, 2025.