Daniel John Broza, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000779 Issued in VA

Practice address

12121 Jefferson Ave
Newport News, VA 23602-6916

Phone

(757) 746-2014

Fax

(757) 746-2046

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel J Broza, O.D., PLLC

  • Medical Specialty Clinic/Center
  • Newport News, VA
  • NPI 1730578212
  NPD (past) Authorized official
• 20-20 Eyecare of Virginia Inc

  • Optometrist
  • Williamsburg, VA
  • NPI 1467527770
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1821145475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 FOUNDATION ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882867",
            "telephone_number": "757-746-2014",
            "fax_number": "757-746-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026916",
            "telephone_number": "757-746-2014",
            "fax_number": "757-746-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZA",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brown
• Tramaine Leanne Brown
• Edythe Anne Browne, NURSE PRACTITIONER
• Cornelia Browning-Moore, LCSW
• Stephanie Browning, MS, ATC
• Bruce E. Fuller, M.D, PLLC
• Ashley M Brumskin
• Christine Abigail Brundage, LCSW
• Eleanor Bryant, LPC
• Emma Bryant

• All providers in Newport News, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.