Cynthia K. Broady (NPI# 1154452118, PAC ID# 9133267172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1154452118 |
PAC ID by PECOS | 9133267172 |
Professional Enrollment ID | I20091111000300 |
Full Name | Cynthia K. Broady |
Organization Legal Name | 17TH STREET OPTOMETRY APC |
Address |
17300 17th St Suite M Tustin CA 92780-1955 |
Phone Number | 7148389664 |
Gender | F |
Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
Graduation Year | 1985 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 5395087100 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
17300 17th St, Suite M, Tustin, CA 92780-1955 | 7148389664 | 17TH STREET OPTOMETRY APC |
Organization Legal Name | 17TH STREET OPTOMETRY APC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexander Tyler Elson | Optometry | 17th Street Optometry Apc | 17300 17th St, Suite M, Tustin, CA 92780-1955 |
Street Address |
17300 17TH ST SUITE M |
City | TUSTIN |
State | CA |
Zip | 92780-1955 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexander Tyler Elson | Optometry | 17th Street Optometry Apc | 17300 17th St, Suite M, Tustin, CA 92780-1955 |
Name | Specialty | Organization | Address |
---|---|---|---|
Asmea Judeh | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Jordan L Mayo | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Diego A Kim | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Scott A Locken | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Jessica M Slette | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Robert J Grant | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Shannon R Lee | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
Mike Kelly | Nurse Practitioner | Alliance Psychiatric Group Inc A Medical Corporation | 17601 17th St, Suite 120, Tustin, CA 92780-1946 |
Moses Morar | Nurse Practitioner | Alliance Psychiatric Group Inc A Medical Corporation | 17601 17th St, Suite 120, Tustin, CA 92780-1946 |
Yeral Patel | General Practice | Ideal Spine and Rehab Inc | 17251 17th St A B, Tustin, CA 92780-1970 |
Find all physicians in zip 92780 |
City | TUSTIN |
Zip Code | 92780 |
Specialty | OPTOMETRY |
City + Specialty | TUSTIN + OPTOMETRY |
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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.