Individual
DR. STEVEN D BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
999 HOME PLZ, WATERLOO, IA 50701-4822
(319) 236-0815
(319) 234-0847
Mailing address
999 HOME PLZ, WATERLOO, IA 50701-4822
(319) 236-0815
(319) 234-0847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1634
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117267
—
IA
01
—
18418
WELLMARK BC/BS OF IA
IA
01
—
CG4244
MEDICARE ID
IA
Enumeration date
03/30/2006
Last updated
04/15/2008
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