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BROADWAY VISION SOURCE, INCORPORATED
NPI 1710456249
Optometrist in Eagle Grove, IA

Active since November 14, 2018
300 W BROADWAY ST, EAGLE GROVE, IA 50533(515) 448-3813(515) 448-3885 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Vision Source, Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY VISION SOURCE, INCORPORATED (NPI 1710456249) is a healthcare organization registered as an optometrist in Eagle Grove, Iowa and active in the NPI registry since November 2018. The organization lists Brandon S Hauck, Owner, as its authorized official.

NPPES Registry Identity

NPI1710456249
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBROADWAY VISION SOURCE, INCORPORATED
Location Address300 W BROADWAY STEagle Grove, IA 50533-1712
Mailing Address300 W Broadway St, P.o Box 459Eagle Grove, IA 50533-1712 · (515) 448-3813 · Fax (515) 448-3885
Phone(515) 448-3813
Fax(515) 448-3885
Organization SubpartYes
Authorized OfficialBrandon S HauckOwner · (515) 448-3813
Enumeration DateNovember 14, 2018
✔ NPI 1710456249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
300 W BROADWAY ST, Eagle Grove, IA 50533
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Other Identifiers 2

Medicaid1346620432IA
Other1346620432IA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Medica.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Broadway Vision carries, from the Medicare DMEPOS supplier directory.

Broadway Vision

DMEPOS supplier · Eagle Grove, IAOperated by Broadway Vision Source, Incorporated
✔

Accepts Medicare assignment

Broadway Vision agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20436449
Medicare Participant SinceJanuary 1, 2019
Supplier Location300 W Broadway StEagle Grove, IA 50533
Phone(515) 448-3813
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Vision Source, Incorporated's NPI number?

The NPI number for Broadway Vision Source, Incorporated is 1710456249. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Broadway Vision Source, Incorporated located?

Broadway Vision Source, Incorporated is located at 300 W Broadway St, Eagle Grove, IA 50533. The listed phone number is (515) 448-3813.

What is Broadway Vision Source, Incorporated's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Broadway Vision Source, Incorporated accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Broadway Vision accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Broadway Vision Source, Incorporated accept?

Health plans from BlueCross BlueShield of Tennessee and Medica list Broadway Vision Source, Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Vision Source, Incorporated was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.