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

Svetlana Broadstock, LDO

Individual provider Optician · NPI 1902600562

Svetlana Broadstock, LDO is an Optician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

2501 W Happy Valley Rd
Phoenix, AZ 85085-3701
Phone: (623) 780-5719
Fax: (623) 780-5721
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 2471I (AZ)

Record details

NPI number1902600562
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorYes
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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