Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway Vision Source, Incorporated

Organization Optometrist · NPI 1710456249

Broadway Vision Source, Incorporated is an Optometrist in Eagle Grove, Iowa. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

300 W Broadway St
Eagle Grove, IA 50533-1712
Phone: (515) 448-3813
Fax: (515) 448-3885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1710456249
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBroadway Vision Source, Incorporated
Authorized official Brandon Hauck — Owner · (515) 448-3813
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address300 W Broadway St, P.O Box 459, Eagle Grove, IA 50533-1712