John H Broaddus
John H Broaddus is a healthcare organization registered as Optometrist in Lancaster, PA, holding Type 2 (organization) NPI 1265538045 since 2006. The authorized official on file is John Broaddus, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265538045 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John H Broaddus |
| Practice address | 1158 PARK CITY CTR, Lancaster, PA, 17601 |
| Phone | 7173934042 |
| Enumeration date | 2006-09-16 |
| Last updated in NPPES | 2007-10-30 |
Authorized official
| Name | John Broaddus |
|---|---|
| Title | Owner |
| Phone | 7173934042 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | OEG001548 | PA |
Copy-ready billing details
Provider: John H Broaddus NPI: 1265538045 Taxonomy: 152W00000X (Optometrist) Address: 1158 PARK CITY CTR, Lancaster, PA, 17601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962508762 | Randal Fortner | Individual | Optometrist | Lancaster, PA |
| 1164501979 | Gary Gydush | Individual | Optometrist | Lancaster, PA |
Verify this record
Cross-check NPI 1265538045 against the authoritative CMS record: view John H Broaddus on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for John H Broaddus?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-30.