Organization
BROOME VISION INC
Active
Other names
Eyesavers
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ANDREW BROOME O.D. (PRESIDENT/OWNER)
(386) 253-5999
Entity
Organization
Contact information
Practice address
1474 W GRANADA BLVD, SUITE 470, ORMOND BEACH, FL 32174-9187
(386) 673-3011
Mailing address
1474 W GRANADA BLVD, STE 470, ORMOND BEACH, FL 32174-9187
(386) 673-3011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206402
—
FL
Enumeration date
07/11/2008
Last updated
06/02/2011
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