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Organization

BOERNE EYES ON MAIN PLLC

Active
Other names
Eyes on Main
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOREN KATHRYN RODGERS OD (OPTOMETRIST)
(210) 861-2011
Entity
Organization

Contact information

Practice address
1365 S MAIN ST, BOERNE, TX 78006
(210) 392-1727
Mailing address
1365 S MAIN ST, BOERNE, TX 78006-2821
(210) 861-2011

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9411T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
9411T
TX
152WV0400X
Vision Therapy Optometrist
9411T
TX

Other

Enumeration date
05/23/2018
Last updated
06/20/2018
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