| Broome Vision Inc | |
|
701 S Ridgewood Ave, Daytona Beach, FL 32114-5331 | |
| (386) 253-5999 | |
| (386) 253-1193 |
| Full Name | Broome Vision Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 701 S Ridgewood Ave, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922278704 | NPI | - | NPPES |
| 000206400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC3301 (Florida) | Primary |
| Provider Name | Kevin A Broome |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548296486 PECOS PAC ID: 4587640966 Enrollment ID: I20050104000712 |
| Provider Name | Frank A Broome |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982631792 PECOS PAC ID: 8325936669 Enrollment ID: I20090206000047 |
| Provider Name | Kaily Marie Tschantz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578099339 PECOS PAC ID: 4981976289 Enrollment ID: I20170822001429 |
| Provider Name | Ronald E Monacelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063416543 PECOS PAC ID: 3173646171 Enrollment ID: I20200722000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Broome Vision Inc Po Box 351, Daytona Beach, FL 32115-0351 Ph: (386) 253-5999 | Broome Vision Inc 701 S Ridgewood Ave, Daytona Beach, FL 32114-5331 Ph: (386) 253-5999 |
Dr. Jalene Haynes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave, Suite 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Shanelle Jenkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Shivam Patel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave Ste 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
Ronald E Monacelli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 701 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-253-5999 Fax: 386-258-3973 | |
Leah Wiedemamn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716 N Halifax Ave Apt 9, Daytona Beach, FL 32118 Phone: 314-583-0324 | |
Dr. Ian D. Raden, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Eye Clinic, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
Todd Geis, MD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-676-7103 |