Individual
DR. THOMAS KEITH BOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1060 LENOIR RHYNE BLVD SE, HICKORY, NC 28602-4330
(828) 328-3900
(828) 328-5253
Mailing address
1060 LENOIR RHYNE BLVD SE, HICKORY, NC 28602-4330
(828) 328-3900
(828) 328-5253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890906M
—
NC
Enumeration date
08/09/2005
Last updated
07/24/2008
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