Melissa Layne Broaddus (NPI# 1376977439, PAC ID# 8224263256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1376977439 |
| PAC ID by PECOS | 8224263256 |
| Professional Enrollment ID | I20150714001572 |
| Full Name | Melissa Layne Broaddus |
| Organization Legal Name | WILLIAM H. HOLMES, INC. |
| Address |
1650 S Enterprise Ave A100 Springfield MO 65804-1840 |
| Phone Number | 4178897788 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3870655657 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1650 S Enterprise Ave, A100, Springfield, MO 65804-1840 | 4178897788 | WILLIAM H. HOLMES, INC. |
| Organization Legal Name | WILLIAM H. HOLMES, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Holmes | Optometry | William H. Holmes, Inc. | 1650 S Enterprise Ave, A100, Springfield, MO 65804-1840 |
| Street Address |
1650 S ENTERPRISE AVE A100 |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65804-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Holmes | Optometry | William H. Holmes, Inc. | 1650 S Enterprise Ave, A100, Springfield, MO 65804-1840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Carrell | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Ronald W Keeling | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Bary Brown | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Carolyn S Wampler | Clinical Social Worker | 1736 E Sunshine St, Springfield, MO 65804-1329 | |
| Iran N Cohen | Psychologist, Clinical | 1736 E Sunshine St, Suite 510, Springfield, MO 65804-1331 | |
| Jeanine L Siewert | Clinical Social Worker | 1736 E Sunshine, Suite 811, Springfield, MO 65804-1334 | |
| Sara S Hollis | Psychologist, Clinical | 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1334 | |
| Susan L Waldo | Psychologist, Clinical | 1909 E Bennett St, Suite 106, Springfield, MO 65804-1400 | |
| Stephen R Adams | Family Medicine | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Julie A Macke | Clinical Social Worker | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Find all physicians in zip 65804 | |||
| City | SPRINGFIELD |
| Zip Code | 65804 |
| Specialty | OPTOMETRY |
| City + Specialty | SPRINGFIELD + OPTOMETRY |
Please comment or provide details below to improve the information on Melissa Layne Broaddus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.