Daytona Eye Center

LBN: Broome Vision Inc
Daytona Eye Center is an health care organization with primary practice located at 701 S Ridgewood Ave , Daytona Beach FL 32114-5331. 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) 253-5999, or through Broome, Kevin A via phone (386) 253-5999.

Contact Information

Primary practice address
701 S Ridgewood Ave Daytona Beach FL 32114-5331
Phone: (386) 253-5999
Fax: (386) 253-1193
Website:
Map and Directions
Authorized official contact:
Name: Broome, Kevin A 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 1922278704
LBN Legal business name Broome Vision Inc
DBA Doing business as Daytona Eye Center
Authorized official Broome, Kevin A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Jun 25th, 2013 - about 13 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 1922278704 NPPES
Florida MEDICAID 000206400

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