DR. Olivia Boehnke

NPI #1174179584 in Mount Vernon, Illinois

Provider Information

NPI Number: 1174179584
Entity Type: Individual
Name: DR. Olivia Boehnke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 110 DAVIDSON RD
City: Mount Vernon
State: Illinois
ZIP Code: 62864-6741
Phone: (618) 244-5748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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