Organization
DE BOER OD., LTD
Active
Other names
De Boer Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M DE BOER O.D. (PRESIDENT)
(219) 987-3673
Entity
Organization
Contact information
Practice address
609 N HALLECK ST, DEMOTTE, IN 46310-9545
(219) 987-3673
(219) 987-3905
Mailing address
609 N HALLECK ST, DEMOTTE, IN 46310-9545
(219) 987-3673
(219) 987-3905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
09/02/2025
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