Frank Anthony Broome Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC795 Issued in FL

Practice address

3781 S Nova Rd Ste O
Port Orange, FL 32129-4285

Phone

(386) 760-8626

Fax

(386) 760-2676

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broome Vision IncGroup PAC ID 3678649373, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broome Vision Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1922278704
  Medicare reassignment Care Compare group NPD
• Broome Vision Inc

  • Optometrist
  • Ormond Beach, FL
  • NPI 1689838393
  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1982631792",
    "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": "386-253-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 S NOVA RD STE O",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294285",
            "telephone_number": "386-760-8626",
            "fax_number": "386-760-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "FRANK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC795",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084399700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Briseus
• Lauren Brizzolara
• Brookdale Senior Living Communities, Inc.
• Brandi Brooks, RBT
• Broome Vision Inc.
• Amanda Brown
• Ayrica Brown
• Edna Lippi Brown, L.M.H.C.
• Lakeitha Brown
• Michael Brown

• Optometrist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.