Broomall Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG 001600 Issued in PA

Legal business name

BROOMALL EYE CARE, P.C.

Practice address

1991 Sproul Rd
Lawrence Park Center # 25
Broomall, PA 19008-3512

Phone

(610) 325-7688

Fax

(610) 325-7622

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dennis Allodoli, O.D.

Title

President

Phone

(610) 325-7688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942408505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 SPROUL RD",
            "address_2": "LAWRENCE PARK CENTER # 25",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083512",
            "telephone_number": "610-325-7688",
            "fax_number": "610-325-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 SPROUL RD",
            "address_2": "LAWRENCE PARK CENTER # 25",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083512",
            "telephone_number": "610-325-7688",
            "fax_number": "610-325-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMALL EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLODOLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-325-7688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 001600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Prince Brigham, M.D.
• David Christopher Brooks, M.D., PH.D.
• Laura Winsor Brooks, P.A.
• Broomall Care Center LLC
• Broomall Dental Health PC
• Broomall Healthcare Group, Inc.
• Broomall Medical Group, PC
• Broomall Operating Company LP
• Broomall Radiology Associates PC
• Broomall Rehab Services Inc.

• Optometrist in Broomall, PA
• Providers in Broomall, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.