Active NPI
Frank a Broome Jr O.D.
- Optometrist
- Ormond Beach, FL
National Provider Identifier
1962672378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC795
- Legal business name
- FRANK A BROOME JR O.D.
- Practice address
- 1474 W Granada Blvd
Suite 470
Ormond Beach, FL 32174-9187 - Phone
- (386) 253-5999
- Fax
- (386) 258-3973
- NPI assigned
- Mar 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin A Broome, O.D.
- Title
- Authorized Official/Optometrist
- Phone
- (386) 253-5999
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3301 | FL | |
| Optometrist | 152W00000X | OPC795 | FL | Primary |
| Optometrist | 152W00000X | OPC2982 | FL | |
| Optometrist | 152W00000X | OPC3786 | FL | |
| Optometrist | 152W00000X | OPC3283 | FL | |
| Optometrist | 152W00000X | OPC876 | FL |
Addresses
Primary practice location
1474 W Granada Blvd
Suite 470
Ormond Beach, FL 32174-9187
Mailing address
701 S Ridgewood Ave
Daytona Beach, FL 32114-5331
Phone (386) 253-5999
Other names 1
- Daytona Eye Center/Eye Savers
National Provider Directory
National Provider Directory- Tax ID family
- Daytona Eye Centereye Savers
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Orange City, FL
- NPI 1427228832
-
- Optometrist
- Port Orange, FL
- NPI 1659541068
-
- Optometrist
- Daytona Beach, FL
- NPI 1699960849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1962672378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S RIDGEWOOD AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145331",
"telephone_number": "386-253-5999",
"fax_number": "386-258-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 W GRANADA BLVD",
"address_2": "SUITE 470",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749187",
"telephone_number": "386-253-5999",
"fax_number": "386-258-3973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK A BROOME JR O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "BROOME",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OPTOMETRIST",
"authorized_official_telephone_number": "386-253-5999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3301",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC795",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2982",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3786",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3283",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Daytona Eye Center/Eye Savers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.