Individual
DR. MICHAEL BOECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 S MAIN ST, LINDSAY, OK 73052-5635
(405) 756-4414
(405) 756-4415
Mailing address
301 S MAIN ST, LINDSAY, OK 73052-5635
(405) 756-4414
(405) 756-4415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1041
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761590A
—
OK
Enumeration date
08/02/2006
Last updated
12/28/2012
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