Michael John Broza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1599 Issued in NC

Practice address

5959 Triangle Town Blvd
Raleigh, NC 27616-3268

Phone

(919) 792-2345

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Pennsylvania College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982647871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BAYSDALE LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275233837",
            "telephone_number": "919-387-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 TRIANGLE TOWN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163268",
            "telephone_number": "919-792-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Haley Brownlee
• Robert A Brownstein, MD
• Holly B Broyles, AU.D
• Jeffrey Lynn Broyles, PH.D.
• Lydia Eason Broza, OD
• Victor Brozovsky, MD
• Elizabeth Helen Brubaker
• Bruce S Barker DMD PA
• Bruce V. Wainright DDS Magd PA (Wainright & Wassel DDS)
• Anne Davies Bruce, MSW

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.