Organization
JOHN BOER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D BOER O.D. (PRESIDENT)
(402) 708-6680
Entity
Organization
Contact information
Practice address
1201 29TH ST SE, STE A, WATERTOWN, SD 57201-9179
(605) 886-0200
Mailing address
1313 E NORTHSTAR LN, APT. 206, SIOUX FALLS, SD 57108-4811
(402) 708-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
637
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203750
—
SD
Enumeration date
06/25/2007
Last updated
12/20/2007
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