Organization
BROOME VISION INC
Active
Other names
Eyesavers
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ANDREW BROOME OD (PRESIDENT/OWNER)
(386) 253-5999
Entity
Organization
Contact information
Practice address
2564 ENTERPRISE RD, ORANGE CITY, FL 32763-7904
(386) 774-7242
(386) 774-8442
Mailing address
2564 ENTERPRISE RD, ORANGE CITY, FL 32763-7904
(386) 774-7242
(386) 774-8442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206401
—
FL
Enumeration date
07/11/2008
Last updated
02/25/2011
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