| Dr Joe Edward Broadway Iii, OD | |
|
2355 N State Highway 360 Apt 625, Grand Prairie, TX 75050-8716 | |
| (972) 822-3148 | |
| Not Available |
| Full Name | Dr Joe Edward Broadway Iii |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 4 Years |
| Location | 2355 N State Highway 360 Apt 625, Grand Prairie, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205675790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11188 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aeg Texas Professional Pllc | 4486985678 | 202 |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joe Edward Broadway Iii, OD 2355 N State Highway 360 Apt 625, Grand Prairie, TX 75050-8716 Ph: (972) 822-3148 | Dr Joe Edward Broadway Iii, OD 2355 N State Highway 360 Apt 625, Grand Prairie, TX 75050-8716 Ph: (972) 822-3148 |
Med Southwest, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 Phone: 469-805-6583 | |
Dr. Jaime Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2634 S Carrier Pkwy, 101, Grand Prairie, TX 75052 Phone: 972-641-0011 | |
Dr. Carolyn K Kha, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite Number 160, Grand Prairie, TX 75052 Phone: 972-641-5900 Fax: 972-641-5903 | |
First Vision Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 Fax: 817-608-7879 | |
Dr. Sunita N Sunesra, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 Fax: 817-608-7879 |