# BROOME VISION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eyesavers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407010119
- **Authorized official:** KEVIN ANDREW BROOME OD (PRESIDENT/OWNER)
- **Authorized official phone:** (386) 253-5999

## Contact information

- **Practice address:** 2564 ENTERPRISE RD, ORANGE CITY, FL 32763-7904
- **Practice address phone:** (386) 774-7242
- **Practice address fax:** (386) 774-8442
- **Mailing address:** 2564 ENTERPRISE RD, ORANGE CITY, FL 32763-7904
- **Mailing address phone:** (386) 774-7242
- **Mailing address fax:** (386) 774-8442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3301 | FL | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 02/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000206401 | — | FL |
