Broome Professionals PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BROOME PROFESSIONALS PA

Doing business as

Broome Optical

Practice address

3408 Olsen Blvd.
Amarillo, TX 79109

Phone

(806) 355-5633

Fax

(806) 355-9133

NPI assigned

Nov 9, 2007

Last updated

Jul 16, 2012By 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

Charlene R Clifford, OCS

Title

Billing

Phone

(806) 355-5633

Specialties & licenses 1

Addresses

Other names 1

• Broome Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: cledc@broomeoptical.eyefinity-direct.com
• Direct secure messaging: jimmartin@broomeoptical.eyefinity-direct.com
• Direct secure messaging: joe.williams@broomeoptical.eyefinity-direct.com
• Direct secure messaging: karen.khan@broomeoptical.eyefinity-direct.com
• Direct secure messaging: lisa.obrien@broomeoptical.eyefinity-direct.com
• Direct secure messaging: lucas.haney@broomeoptical.eyefinity-direct.com
• Direct secure messaging: maivy.hoang@broomeoptical.eyefinity-direct.com
• Direct secure messaging: neal.nossaman@broomeoptical.eyefinity-direct.com

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• R Dean Beddow, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1629046230
  Medicare reassignment Care Compare group NPD
• Mai Vy Hoang, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1205148665
  Medicare reassignment Care Compare group NPD
• Karen Hashmi Khan, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1205148863
  Medicare reassignment Care Compare group NPD
• Jimmy A Martin, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1770551079
  Medicare reassignment Care Compare group NPD
• Neal D Nossaman, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1568430239
  Medicare reassignment Care Compare group NPD
• Lisa Ann O'Brien, OD

  • Optometrist
  • Amarillo, TX
  • NPI 1275564999
  Medicare reassignment Care Compare group NPD
• Joe D Williams, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1336117126
  Medicare reassignment Care Compare group NPD
• Cled T Click, O.D.

  • Optometrist
  • Clayton, NM
  • NPI 1922011410

  TX

  Medicare reassignment Care Compare group NPD
• Lucas Gene Haney, O.D.

  • Optometrist
  • Amarillo, TX
  • NPI 1083805816
  NPD
• Kyra Lija Ferrigan, OD

  • Optometrist
  • Amarillo, TX
  • NPI 1396775359
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1952581670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-355-5633",
            "fax_number": "806-355-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OLSEN BLVD.",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-355-5633",
            "fax_number": "806-355-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOME PROFESSIONALS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "806-355-5633",
        "authorized_official_credential": "OCS"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broome Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Douglas Brooks, MD
• Hanna Brooks, LPC
• Patricia Ann Brooks, LMFT
• Brookstan Pharmacy LLC (Medical Square Pharmacy)
• Brookstan Pharmacy LLC (Medical Square Pharmacy)
• Dean Paul Brown, DO
• Esther Lorraine Brown, P.T.A.
• Jennifer Brown, MS, RD, LD, CNSC
• Joe Shane Eiden Brown
• Kelli Brown, CSFA

• Eyewear Supplier in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.