Broadway Eyecare Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

145655-1 Issued in NY

Legal business name

BROADWAY EYECARE INC

Practice address

5571 Broadway
Bronx, NY 10463-5230

Phone

(718) 543-2020

NPI assigned

Oct 19, 2009

Last updated

Jul 6, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Faynblut

Title

President

Phone

(718) 543-2020

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1366778847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635230",
            "telephone_number": "718-543-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635230",
            "telephone_number": "718-543-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "FAYNBLUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-543-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "145655-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha Brizz, PA
• BRMC Medical PLLC
• Jiselis Noelia Broadbelt
• Matilde Broadbent, MSED
• Broadway Dental
• Margaret Brobbey, COTA
• Nana Ama Brobbey, RN
• Vida Brobbey, NP C
• Keisha Brockington
• Rhonda Brockington, FNP

• Eyewear Supplier in Bronx, NY
• Providers in Bronx, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.