NPI 1992167407

Broome Eye Care and Optical PA

Organisation Preferred Provider Organization Lake City, FL

Practice location

Address: 125 SW Midtown Pl Suite 101, Lake City, FL 32025-0766
Phone: (386) 466-1062
Fax: (386) 466-1061

Authorised official

Name: Frank Anthony Broome
Title: Owner
Phone: (386) 466-1062

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1992167407 (FL)

Other Preferred Provider Organization providers in Florida →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1679554760 (FL)

Other Optometrist providers in Florida →

Registry record

NPI: 1992167407
Entity type: Organization
NPI issued: 23 Mar 2016
Record last updated: 9 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.