# BROOME VISION INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DAYTONA EYE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922278704
- **Authorized official:** DR. KEVIN A BROOME OD (OPTOMETRIST/OWNER)
- **Authorized official phone:** (386) 253-5999

## Contact information

- **Practice address:** 701 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5331
- **Practice address phone:** (386) 253-5999
- **Practice address fax:** (386) 253-1193
- **Mailing address:** PO BOX 351, DAYTONA BEACH, FL 32115-0351
- **Mailing address phone:** (386) 253-5999
- **Mailing address fax:** (386) 253-1193

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 06/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000206400 | — | FL |