NPI 1003041906

Paul G Rousseau OD PA

Organisation Optometrist Melbourne, FL

Practice location

Address: 5455 Murrell Road Suite 107, Melbourne, FL 32955-1986
Phone: (321) 636-1972
Fax: (321) 636-1507

Authorised official

Name: Paul G Rousseau
Title: Owner / President
Phone: (321) 636-1972

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC2641 (FL)

Other Optometrist providers in Florida →

Registry record

NPI: 1003041906
Entity type: Organization
NPI issued: 20 May 2009
Record last updated: 3 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.