Individual
DR. JOHN H BROADDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
471 PARK CITY CTR, LANCASTER, PA 17601-2711
(717) 393-4042
Mailing address
471 PARK CITY CTR, LANCASTER, PA 17601-2711
(717) 393-4042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57761
AETNA PROVIDER #
—
Enumeration date
07/07/2005
Last updated
04/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us