Dr Kevin Andrew Broome, OD | |
701 S Ridgewood Ave, Daytona Beach, FL 32114-5331 | |
(386) 253-5999 | |
(386) 253-1193 |
Full Name | Dr Kevin Andrew Broome |
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Gender | Male |
Speciality | Optometrist |
Location | 701 S Ridgewood Ave, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548296486 | NPI | - | NPPES |
620421000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | OPC3301 (Florida) | Secondary |
152W00000X | Optometrist | OPC3301 (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 |
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Dr Kevin Andrew Broome, OD 701 S Ridgewood Ave, Daytona Beach, FL 32114-5331 Ph: (386) 253-5999 | Dr Kevin Andrew Broome, OD 701 S Ridgewood Ave, Daytona Beach, FL 32114-5331 Ph: (386) 253-5999 |
Dr. Jalene Haynes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave, Suite 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Shanelle Jenkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Shivam Patel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave Ste 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Ronald E Monacelli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 701 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-253-5999 Fax: 386-258-3973 | |
Leah Wiedemamn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716 N Halifax Ave Apt 9, Daytona Beach, FL 32118 Phone: 314-583-0324 | |
Dr. Ian D. Raden, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Eye Clinic, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Michelle M Hebert, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1101 Beville Rd, Daytona Beach, FL 32119 Phone: 386-760-1890 Fax: 386-760-3223 |