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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BROOME EYE CARE AND OPTICAL PA

NPI # 1992167407
LBN Legal business name BROOME EYE CARE AND OPTICAL PA
Authorized official FRANK BROOME - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2016
Last updated 09/09/2016 - About 10 years ago
Identifiers
FL License # 1679554760
FL License # 1992167407
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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