Organization
FRANK A BROOME JR O.D.
Active
Other names
Daytona Eye Center/Eye Savers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A BROOME O.D. (AUTHORIVED OFFICIAL/OPTOMETRIST)
(386) 253-5999
Entity
Organization
Contact information
Practice address
2564 ENTERPRISE RD, ORANGE CITY, FL 32763-7904
(386) 253-5999
(386) 258-3973
Mailing address
701 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5331
(386) 253-5999
(386) 258-3973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2983
FL
152W00000X
Optometrist
OPC3283
FL
152W00000X
Optometrist
OPC3301
FL
152W00000X
Optometrist
OPC3786
FL
152W00000X
Optometrist
Primary
OPC795
FL
152W00000X
Optometrist
OPC876
FL
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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