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

Last updated

Apr 12, 2018By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broome Vision Inc

  dba Daytona Eye Center

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

  dba Eyesavers

  • 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": [],
    "endpoints": [],
    "other_names": []
}

• Frances Briseus
• Lauren Brizzolara
• Brookdale Senior Living Communities, Inc. (Brookdale Port Orange)
• 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.