Broadway Vision Source, Incorporated
NPI 1710456249 · Optometrist · Eagle Grove, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadway Vision Source, Incorporated is a Optometrist organization in Eagle Grove, IA (NPI 1710456249).
Provider details
- NPI number
- 1710456249
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Broadway Vision Source, Incorporated
- Organization subpart
- Yes
- Authorized official
- Brandon Hauck, Owner(515) 448-3813
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-14
- Last updated
- 2018-11-14
Frequently asked questions
- What is Broadway Vision Source, Incorporated's NPI number?
- Broadway Vision Source, Incorporated's National Provider Identifier (NPI) is 1710456249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Vision Source, Incorporated?
- Broadway Vision Source, Incorporated is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Broadway Vision Source, Incorporated located?
- Broadway Vision Source, Incorporated's practice location on file with NPPES is 300 W Broadway St, Eagle Grove, IA 50533-1712.
- What is Broadway Vision Source, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Broadway Vision Source, Incorporated is (515) 448-3813.
- Does Broadway Vision Source, Incorporated accept Medicare?
- Broadway Vision Source, Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broadway Vision Source, Incorporated?
- The authorized official listed on Broadway Vision Source, Incorporated's NPPES record is Brandon Hauck, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Vision Source, Incorporated's NPI active?
- Yes — Broadway Vision Source, Incorporated's NPI (1710456249) is active in the NPPES registry as of the last update on 2018-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.