Organization
BROOME VISION INC
Active
Other names
DAYTONA EYE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A BROOME OD (OPTOMETRIST/OWNER)
(386) 253-5999
Entity
Organization
Contact information
Practice address
701 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5331
(386) 253-5999
(386) 253-1193
Mailing address
PO BOX 351, DAYTONA BEACH, FL 32115-0351
(386) 253-5999
(386) 253-1193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206400
—
FL
Enumeration date
03/07/2008
Last updated
06/25/2013
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