Michael John Broza, OD | |
5959 Triangle Town Blvd, Raleigh, NC 27616-3268 | |
(919) 792-2345 | |
Not Available |
Full Name | Michael John Broza |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 31 Years |
Location | 5959 Triangle Town Blvd, Raleigh, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982647871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1599 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Eye Care Group | 6002888559 | 12 |
Provider Name | Fox Eye Care Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215994371 PECOS PAC ID: 6002888559 Enrollment ID: O20040806000421 |
Mailing Address | Practice Location Address |
---|---|
Michael John Broza, OD 2003 Baysdale Ln, Apex, NC 27523-3837 Ph: (919) 387-5718 | Michael John Broza, OD 5959 Triangle Town Blvd, Raleigh, NC 27616-3268 Ph: (919) 792-2345 |
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