Organization
CONROE VISION ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BOECKMAN OS (OWNER/OD)
(936) 539-2020
Entity
Organization
Contact information
Practice address
1422 N LOOP 336 W, STE. B, CONROE, TX 77304-3540
(936) 539-2020
(936) 756-7916
Mailing address
1422 N LOOP 336 W, STE. B, CONROE, TX 77304-3540
(936) 539-2020
(936) 756-7916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3012
LICENSE
TX
Enumeration date
02/04/2016
Last updated
10/24/2016
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