Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physicians Optical Lab Inc

Organization Eyewear Supplier · NPI 1871686667

Physicians Optical Lab Inc is an Eyewear Supplier in Melbourne, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

502 E New Have Ave
Melbourne, FL 32901-5427
Phone: (321) 722-3715
Fax: (321) 722-3187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1871686667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Broussard — President · (321) 727-2020
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address502 E New Have Ave, Melbourne, FL 32901-5427

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