<Unavail>

LBN: Broome Vision Inc
<Unavail> is an health care organization with primary practice located at 1474 W Granada Blvd Suite 470, Ormond Beach FL 32174-9187. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Broome Vision Inc can be contacted via phone (386) 673-3011, or through Broome, Kevin Andrew via phone (386) 253-5999.

Contact Information

Primary practice address
1474 W Granada Blvd Suite 470 Ormond Beach FL 32174-9187
Phone: (386) 673-3011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broome, Kevin Andrew Doctor of Optometry (OD)
Phone: (386) 253-5999

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3301 Florida

Profile Details

NPI number 1689838393
LBN Legal business name Broome Vision Inc
DBA Doing business as <Unavail>
Authorized official Broome, Kevin Andrew Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated Jun 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689838393 NPPES
Florida MEDICAID 000206402

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