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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Broadway Vision Source, Incorporated

Optometrist in Eagle Grove, IA · enumerated 2018 · authorized official Brandon Hauck, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710456249

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Vision Source, Incorporated
Parent organization Broadway Vision Source, Incorporated
Practice address 300 W Broadway St, Eagle Grove, IA, 50533
Phone (515) 448-3813
Fax (515) 448-3885
Enumeration date Nov 14, 2018
Last updated in NPPES Nov 14, 2018

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Brandon Hauck
Title Owner
Phone (515) 448-3813

Other identifiers

Identifier Type State Issuer
1346620432 Other IA INDIVIDUAL NPI
1346620432 Medicaid IA -

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.

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Frequently asked questions

Who is the authorized official for Broadway Vision Source, Incorporated?
NPPES lists Brandon Hauck (Owner) as the authorized official for this organization.
What is the NPI number for Broadway Vision Source, Incorporated?
The NPI for Broadway Vision Source, Incorporated is 1710456249, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-14.