Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477551133 Individual Practitioner Male Practitioner

Dr. John H Broaddus , OD

Optometrist • Lancaster, PA

Professional Overview & Biography Verified Profile Summary

Dr. John Broaddus, OD is a registered healthcare professional specializing in Optometrist in Lancaster, PA. Practice services are available at 471 PARK CITY CTR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

471 Park City Ctr

Lancaster, PA 176012711

Telephone 7173934042
Associated Practice Facility / Clinic
🏢 Luxottica Of America Inc. Facility NPI 1194878827

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lancaster, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Lancaster, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-10
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG001548

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna Provider #
57761

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1164501979

Doctor of Optometry

NPI 1962508762

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 10, 2022

Registered at 471 PARK CITY CTR, LANCASTER, PA 176012711 (Tel: 7173934042)

📍
Updated Business Mailing Address April 10, 2022

Registered at 471 PARK CITY CTR, LANCASTER, PA 176012711 (Tel: 7173934042)

NPI Profile Active August 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2008

Registered at 1158 PARK CITY CTR, LANCASTER, PA 176012726 (Tel: 7173934042)

📍
Updated Business Mailing Address August 06, 2008

Registered at 1158 PARK CITY CTR, LANCASTER, PA 176012726 (Tel: 7173934042)

👤
Provider Name / Credentials Updated August 06, 2008

Recorded as JOHN BROADDUS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2008

Optometrist (License #OEG001548 in PA)

🟢
Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477551133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: April 10, 2022
Sole Proprietor: Yes

Mailing Address

471 Park City Ctr

Lancaster, PA 176012711

Phone: 7173934042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.