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Organization

DANIEL E BOONE OD

Active
Other names
NIXA FAMILY EYE CARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL E. BOONE O.D. (OWNER/OPTOMETRIST)
(417) 725-0000
Entity
Organization

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5075511202
MO
Enumeration date
06/18/2006
Last updated
07/07/2025
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