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

Dr. Jessica Lynn Broodryk, OD

Individual provider Optometrist · NPI 1588289474

Dr. Jessica Lynn Broodryk, OD is an Optometry in Berkeley, California. Graduated from University of Missouri St Louis - School of Optometry in 2020, 6 years ago. Practices with St Louis Society for the Blind, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

200 Minor Hall
Berkeley, CA 94720-0001
Phone: (510) 642-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2020014783 (MO)

Record details

NPI number1588289474
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice St Louis Society For The Blind — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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