Boerne Vision Center Pa

LBN: Boerne Vision Center Pa
Boerne Vision Center Pa is an health care organization with primary practice located at 124 E Bandera Rd Suite 403, Boerne TX 78006-2849. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Boerne Vision Center Pa can be contacted via phone (830) 331-8745, or through Johnson, Susan Ly via phone (830) 331-8745.

Contact Information

Primary practice address
124 E Bandera Rd Suite 403 Boerne TX 78006-2849
Phone: (830) 331-8745
Fax: (830) 331-8749
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Susan Ly Doctor of Optometry (OD)
Phone: (830) 331-8745

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1609149731
LBN Legal business name Boerne Vision Center Pa
DBA Doing business as
Authorized official Johnson, Susan Ly Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2012
Last updated Dec 9th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609149731 NPPES
Texas MEDICAID 376409401

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