BROOME VISION INC.
NPI 1891958963
Optometrist in Port Orange, FL

Q: What is Broome Vision Inc.'s NPI number?

The NPI number for Broome Vision Inc. is 1891958963. It was assigned to this organization in the NPPES registry on July 8, 2008.

Q: What is Broome Vision Inc.'s specialty?

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

Active since July 08, 2008

3781O S NOVA RD STE O, PORT ORANGE, FL 32129(386) 760-8626(386) 760-2676 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Broome Vision Inc. NPPES

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

BROOME VISION INC. (NPI 1891958963) is a healthcare organization registered as an optometrist in Port Orange, Florida and active in the NPI registry since July 2008. The organization lists Kevin Andrew Broome, President/owner, as its authorized official.

NPPES Registry Identity

NPI1891958963

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBROOME VISION INC.

Location Address3781O S NOVA RD STE OPort Orange, FL 32129-4233

Mailing Address3781 S Nova Rd Ste OPort Orange, FL 32129-4285 · (386) 760-8626 · Fax (386) 760-2676

Phone(386) 760-8626

Fax(386) 760-2676

Organization SubpartNo

Authorized OfficialKevin Andrew BroomePresident/owner · (386) 253-5999

Enumeration DateJuly 8, 2008

Last NPPES UpdateJune 2, 2011

✔ NPI 1891958963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC3301

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.

3781O S NOVA RD STE O, Port Orange, FL 32129

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Other Identifiers 4

Medicare UPIN6253840002FL

Medicaid000206403FL

Medicare NSC6253840002FL

Medicare PINAL995FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broome Vision Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Broome Vision Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Frank Broome, O.D.

Optometry

NPI 1982631792

3781 S NOVA RD STE O
Port Orange, FL 32129

(386) 760-8626

✔ PECOS✔ Accepts MedicareSame address

Ronald Monacelli, OD

Optometry

NPI 1063416543

701 S RIDGEWOOD AVE
Daytona Beach, FL 32114

(386) 253-5999

✔ PECOS✔ Accepts Medicare7.7 mi

Kevin Broome, O.D.

Optometry

NPI 1548296486

701 S RIDGEWOOD AVE
Daytona Beach, FL 32114

(386) 253-5999

✔ PECOS✔ Accepts Medicare7.7 mi

Kaily Tschantz, O.D.

Optometry

NPI 1578099339

701 S RIDGEWOOD AVE
Daytona Beach, FL 32114

(386) 253-5999

✔ PECOS✔ Accepts Medicare7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Broome Vision Inc.'s NPI number?

The NPI number for Broome Vision Inc. is 1891958963. It was assigned to this organization in the NPPES registry on July 8, 2008.

Where is Broome Vision Inc. located?

Broome Vision Inc. is located at 3781O S Nova Rd Ste O, Port Orange, FL 32129. The listed phone number is (386) 760-8626.

What is Broome Vision Inc.'s specialty?

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

Is Broome Vision Inc. enrolled in Medicare?

Yes. Broome Vision Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broome Vision Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Broome Vision Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broome Vision Inc. was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.