Active NPI
Lydia Eason Broza, OD
- Optometrist
- Raleigh, NC
National Provider Identifier
1851339279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1491
- Practice address
- 5959 Triangle Town Blvd
Raleigh, NC 27616-3268 - Phone
- (919) 792-2347
- NPI assigned
- Jun 4, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1491 | NC | Primary |
Addresses
Primary practice location
5959 Triangle Town Blvd
Raleigh, NC 27616-3268
Mailing address
5959 Triangle Town Blvd
Ste 2001
Raleigh, NC 27616-3271
Phone (919) 387-5718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1491 | Other | NC | OPTOMETRIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000922 | NC | Practitioner - Optometry | 3779743638 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3509 Haworth Dr
Suite 208
Raleigh, NC 27609-7223
5959 Triangle Town Blvd
Raleigh, NC 27616-2960
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1491 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851339279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 TRIANGLE TOWN BLVD",
"address_2": "STE 2001",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276163271",
"telephone_number": "919-387-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 TRIANGLE TOWN BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276163268",
"telephone_number": "919-792-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROZA",
"first_name": "LYDIA",
"middle_name": "EASON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIC LICENSE",
"identifier": "1491",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.