Dr Frank Anthony Broome Jr, OD | |
3781 S Nova Rd Ste O, Port Orange, FL 32129-4285 | |
(386) 760-8626 | |
(386) 760-2676 |
Full Name | Dr Frank Anthony Broome Jr |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3781 S Nova Rd Ste O, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982631792 | NPI | - | NPPES |
084399700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | OPC795 (Florida) | Secondary |
152W00000X | Optometrist | OPC795 (Florida) | Primary |
Provider Name | Broome Vision Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922278704 PECOS PAC ID: 3678649373 Enrollment ID: O20080903000609 |
Mailing Address | Practice Location Address |
---|---|
Dr Frank Anthony Broome Jr, OD 701 S Ridgewood Ave, Daytona Beach, FL 32114-5331 Ph: (386) 253-5999 | Dr Frank Anthony Broome Jr, OD 3781 S Nova Rd Ste O, Port Orange, FL 32129-4285 Ph: (386) 760-8626 |
Blahnik Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129 Phone: 386-492-6999 Fax: 386-492-6900 | |
Dr. Larissa Dvorak, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1590 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-756-1900 Fax: 386-756-8133 | |
Jessica Jordan Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7360 | |
Dr. Kirsten Reed Wilgers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5820 Williamson Blvd, Suite 106, Port Orange, FL 32128 Phone: 386-767-4449 Fax: 386-767-1980 | |
Gregory T Kipp, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3820 S Nova Rd, Port Orange, FL 32127 Phone: 386-767-0068 Fax: 386-767-4755 | |
Elizabeth Josephine Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-3328 | |
Dr. Marissa Nicotra, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5517 S Williamson Blvd Ste 310, Port Orange, FL 32128 Phone: 386-322-4304 |