Individual
DANIEL E BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
107 VILLAGE CENTER ST, NIXA, MO 65714-7824
(417) 725-0000
(417) 725-0002
Mailing address
107 VILLAGE CENTER ST, NIXA, MO 65714-7824
(417) 725-0000
(417) 725-0002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03007
MO
332H00000X
Eyewear Supplier
T03007
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313422701
—
MO
01
—
410026504
RAILROAD MEDICARE
MO
Enumeration date
05/04/2006
Last updated
12/11/2024
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