National Provider Identifier Database

JOHN H BROADDUS, OD – NPI #1477551133
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JOHN H BROADDUS, OD
471 PARK CITY CTR
LANCASTER, PA17601-2711
Phone: 717-393-4042
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JOHN H BROADDUS

NPI Number 1477551133
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/07/2005
Last updated 04/10/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: OEG001548
  • Other: 57761 AETNA PROVIDER #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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