Organization Active NPI

Frank a Broome Jr O.D.

  • Optometrist
  • Ormond Beach, FL
National Provider Identifier
1962672378
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC795 Issued in FL
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

Updated by the provider on Mar 3, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC3301 FL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC795 FL Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC2982 FL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC3786 FL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC3283 FL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daytona Eye Centereye Savers4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.