Eyesupply is a
Eyewear Supplier based in Melbourne, Florida. Eyesupply is licensed to practice in Florida (license number OE1487) and their current practice location is
785 N Wickham Rd, Ste. 106, Melbourne, Florida. It can be reached at their office (for appointments etc.) via phone at
(321) 259-3935.
NPI number for Eyesupply is 1215077557 and their current mailing address is 785 N Wickham Rd, Ste. 106, Melbourne, Florida. Eyesupply
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1215077557.
Healthcare Provider's Profile
| Full Name | Eyesupply |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 785 N Wickham Rd, Melbourne, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215077557
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Eyesupply such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215077557 | NPI | - | NPPES |
| FL2732 | Other | FL | EYEMED |
| 29268 | Other | FL | SPECTRA |
| FL5119 | Other | FL | EYEMED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | OPC2732 (Florida) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | DO5119 (Florida) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | DO3652 (Florida) | Secondary |
| 156FX1800X | Technician/technologist - Optician | DO5119 (Florida) | Secondary |
| 156FX1800X | Technician/technologist - Optician | DO3652 (Florida) | Secondary |
| 332H00000X | Eyewear Supplier | OE1487 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eyesupply is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Eyesupply 785 N Wickham Rd, Ste. 106, Melbourne, FL 32935-8857 Ph: (321) 259-3935 | Eyesupply 785 N Wickham Rd, Ste. 106, Melbourne, FL 32935-8857 Ph: (321) 259-3935 |
Reviews and Comments