# DANIEL J BROZA, O.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730578212
- **Authorized official:** DANIEL BROZA O.D. (OPTOMETRIST)
- **Authorized official phone:** (757) 345-0975

## Contact information

- **Practice address:** 12121 JEFFERSON AVE, NEWPORT NEWS, VA 23602-6916
- **Practice address phone:** (757) 746-2014
- **Practice address fax:** (757) 746-2046
- **Mailing address:** 5312 FOUNDATION ST, WILLIAMSBURG, VA 23188-2867
- **Mailing address phone:** (757) 345-0975
- **Mailing address fax:** (757) 746-2046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0618000779 | VA | Yes |

## Other

- **Enumeration date:** 01/21/2015
- **Last updated:** 01/21/2015