Boerne Vision Center PA

NPI #1609149731 in Boerne, Texas

Provider Information

NPI Number: 1609149731
Entity Type: Organization
Organization Name: Boerne Vision Center PA
Primary Specialty: Optometrist
Enumeration Date: Feb 21, 2012
Last Updated: Dec 9, 2019

Practice Location

Address: 124 E BANDERA RD
Address 2: SUITE 403
City: Boerne
State: Texas
ZIP Code: 78006-2849
Phone: (830) 331-8745

Authorized Official

Name: DR. SUSAN LY JOHNSON, OD
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (830) 331-8745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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