Broadway Optical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5142 Issued in FL

Legal business name

BROADWAY OPTICAL INC

Practice address

3594 Broadway
Suite H
Fort Myers, FL 33901-8016

Phone

(239) 275-7320

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lee Schroeder, L.D.ONPI 1669495875

Title

Optician/Owner

Phone

(239) 275-7320

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer L Schroeder, L.D.O

  • Optician
  • Fort Myers, FL
  • NPI 1669495875
  NPD (past) Authorized official

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1962670547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 BROADWAY",
            "address_2": "SUITE H",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018016",
            "telephone_number": "239-275-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 BROADWAY",
            "address_2": "SUITE H",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018016",
            "telephone_number": "239-275-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "239-275-7320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana J Brinson, PT
• Jeanine P Briones, APRN
• Charles George Briseno Jr., M.D.
• Kristen Brist, PA
• Magdaline Rani Britto, D.M.D
• Alexandria Danielle Broadway, CNM
• Gabriel Broche, DMD
• Brock S Frear DC PLLC
• Ann V Brock, P.A.
• Gabriella Brock, PHARM.D.

• Durable Medical Equipment & Medical Supplies in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.