Boerne Optical Ltd 1

NPI #1861674111 in Boerne, Texas

Provider Information

NPI Number: 1861674111
Entity Type: Organization
Organization Name: Boerne Optical Ltd 1
Primary Specialty: Optometrist
Enumeration Date: Nov 28, 2007
Last Updated: Mar 26, 2008

Practice Location

Address: 1201 S MAIN ST
Address 2: STE 108
City: Boerne
State: Texas
ZIP Code: 78006-2833
Phone: (830) 249-3898

Authorized Official

Name: DR. THOMAS SCANNELL, O.D.
Title: OWNER
Phone: (830) 249-3898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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