Daniel J Broza, O.D., Pllc

LBN: Daniel J Broza, O.D., Pllc
Daniel J Broza, O.D., Pllc is an health care organization with primary practice located at 12121 Jefferson Ave , Newport News VA 23602-6916. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Daniel J Broza, O.D., Pllc can be contacted via phone (757) 746-2014, or through Broza, Daniel via phone (757) 345-0975.

Contact Information

Primary practice address
12121 Jefferson Ave Newport News VA 23602-6916
Phone: (757) 746-2014
Fax: (757) 746-2046
Website:
Map and Directions
Authorized official contact:
Name: Broza, Daniel Doctor of Optometry (OD)
Phone: (757) 345-0975

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 0618000779 Virginia

Profile Details

NPI number 1730578212
LBN Legal business name Daniel J Broza, O.D., Pllc
DBA Doing business as
Authorized official Broza, Daniel Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2015
Last updated Jan 21st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730578212 NPPES
Virginia Other 00X764T01 MEDICARE PTAN

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