# BROADWAY OPTICAL INC

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

## Provider details

- **NPI number:** 1962670547
- **Authorized official:** MRS. JENNIFER LEE SCHROEDER L.D.O (OPTICIAN/OWNER)
- **Authorized official phone:** (239) 275-7320

## Contact information

- **Practice address:** 3594 BROADWAY, SUITE H, FORT MYERS, FL 33901-8016
- **Practice address phone:** (239) 275-7320
- **Mailing address:** 3594 BROADWAY, SUITE H, FORT MYERS, FL 33901-8016
- **Mailing address phone:** (239) 275-7320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5142 | FL | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 04/08/2008