Individual provider Active NPI

Lydia Eason Broza, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1851339279
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1491 Issued in NC
Practice address
5959 Triangle Town Blvd
Raleigh, NC 27616-3268
Phone
(919) 792-2347
NPI assigned
Jun 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1491OtherNCOPTOMETRIC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1491NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.