Broome Eye Care And Optical Pa is a medicare enrolled "Preferred Provider Organization" provider in Lake City, Florida. Their current practice location is
125 Sw Midtown Pl, Suite 101, Lake City, Florida. You can reach out to their office (for appointments etc.) via phone at
(386) 466-1062.
Broome Eye Care And Optical Pa is licensed to practice in Florida (license number 1992167407) and it also participates in the medicare program. Broome Eye Care And Optical Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1992167407.
Healthcare Provider's Profile
| Full Name | Broome Eye Care And Optical Pa |
|---|
| Type | Facility |
|---|
| Speciality | Preferred Provider Organization |
|---|
| Location | 125 Sw Midtown Pl, Lake City, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1992167407
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 09/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244524809
- Enrollment ID: O20160804002688
Medical Identifiers
Medical identifiers for Broome Eye Care And Optical Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992167407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1679554760 (Florida) | Secondary |
| 305R00000X | Preferred Provider Organization | 1992167407 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Broome Eye Care And Optical Pa acts as a billing entity for following providers:
| Provider Name | Frank A Broome |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1679554760
PECOS PAC ID: 2567576218
Enrollment ID: I20101214000052 |
|---|
| Provider Name | Kimberly Broome |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1326029414
PECOS PAC ID: 3577671429
Enrollment ID: I20101215000618 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Broome Eye Care And Optical Pa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Broome Eye Care And Optical Pa
125 Sw Midtown Pl, Suite 101,
Lake City, FL 32025-0766
Ph: (386) 466-1062 | Broome Eye Care And Optical Pa
125 Sw Midtown Pl, Suite 101,
Lake City, FL 32025-0766
Ph: (386) 466-1062 |
Reviews and Comments