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PAUL G ROUSSEAU OD PA
NPI 1265762918
Clinic/Center in Viera, FL

Active since December 31, 2009
5455 MURRELL RD STE 107, VIERA, FL 32955(321) 636-1972(321) 636-1507 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul G Rousseau Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL G ROUSSEAU OD PA (NPI 1265762918) is a healthcare organization registered as a clinic/center in Viera, Florida and active in the NPI registry since December 2009. The organization lists Paul Gerard Rousseau, Developmental Optometrist, as its authorized official.

NPPES Registry Identity

NPI1265762918
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePAUL G ROUSSEAU OD PA
Location Address5455 MURRELL RD STE 107Viera, FL 32955-6615
Mailing Address5455 Murrell Rd Ste 107Viera, FL 32955-6615 · (321) 636-1972 · Fax (321) 636-1507
Phone(321) 636-1972
Fax(321) 636-1507
Organization SubpartNo
Authorized OfficialPaul Gerard RousseauDevelopmental Optometrist · (321) 636-1972
Enumeration DateDecember 31, 2009
Last NPPES UpdateMay 3, 2012
✔ NPI 1265762918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · OPC2641
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5455 MURRELL RD STE 107, Viera, FL 32955
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Other Identifiers 2

Other20396ZFL · Medicare Ptan
Medicare UPINU38720FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul G Rousseau Od PA's NPI number?

The NPI number for Paul G Rousseau Od PA is 1265762918. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Paul G Rousseau Od PA located?

Paul G Rousseau Od PA is located at 5455 Murrell Rd Ste 107, Viera, FL 32955. The listed phone number is (321) 636-1972.

What is Paul G Rousseau Od PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Paul G Rousseau Od PA was last updated on May 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.