National Provider Identifier Database

BROOME EYE CARE AND OPTICAL PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BROOME EYE CARE AND OPTICAL PA
125 SW MIDTOWN PL
SUITE 101
LAKE CITY, FL32025-0766
Phone: 386-466-1062
Fax: 386-466-1061
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BROOME EYE CARE AND OPTICAL PA

NPI Number 1992167407
Legal business name
LBN
BROOME EYE CARE AND OPTICAL PA
Authorized official FRANK BROOME - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/23/2016
Last updated 09/09/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 1679554760
  • FL License #: 1992167407

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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