Brevard Optometry Associates
Brevard Optometry Associates is a healthcare organization registered as Optometrist in Melbourne, FL, holding Type 2 (organization) NPI 1710057054 since 2006. The authorized official on file is Rita Jimenez, Practice Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710057054 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brevard Optometry Associates |
| Other name | <Unavail> |
| Practice address | 2420 S BABCOCK ST, Melbourne, FL, 32901 |
| Phone | 3217254755 |
| Fax | 3217255088 |
| Enumeration date | 2006-11-08 |
| Last updated in NPPES | 2008-02-13 |
Authorized official
| Name | Rita Jimenez |
|---|---|
| Title | Practice Manager |
| Phone | 3217254755 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | OPC0891 | FL |
| 152W00000X | Optometrist | Secondary | OPC2189 | FL |
| 152W00000X | Optometrist | Secondary | OPC2747 | FL |
| 152WC0802X | Corneal and Contact Management Optometrist | Secondary | OPC4006 | FL |
| 152W00000X | Optometrist | Primary | OPC1857 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620059100 | Medicaid | FL | — |
| 621109700 | Medicaid | FL | — |
| 078627600 | Medicaid | FL | — |
| 078286600 | Medicaid | FL | — |
| 078847300 | Medicaid | FL | — |
Copy-ready billing details
Provider: Brevard Optometry Associates NPI: 1710057054 Taxonomy: 152W00000X (Optometrist) Address: 2420 S BABCOCK ST, Melbourne, FL, 32901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962482687 | Kenneth Boyle | Individual | Optometrist | Melbourne, FL |
| 1144200841 | Terrance Naberhaus | Individual | Optometrist | Melbourne, FL |
| 1174503387 | Jeffery Locke | Individual | Optometrist | Melbourne, FL |
| 1255311460 | Michael Leon | Individual | Optometrist | Melbourne, FL |
| 1730297185 | Denise Burns-Legros | Individual | Corneal and Contact Management Optometrist | Melbourne, FL |
| 1114273273 | Todd Dimmick | Individual | Optometrist | Melbourne, FL |
| 1831760032 | Steven Williams | Individual | Optometrist | Melbourne, FL |
Verify this record
Cross-check NPI 1710057054 against the authoritative CMS record: view Brevard Optometry Associates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Brevard Optometry Associates?
Who is the authorized official for Brevard Optometry Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-02-13.