Deboer Od Ltd

NPI #1972513653 in Demotte, Indiana

Provider Information

NPI Number
1972513653
Entity Type
Organization
Organization Name
Deboer Od Ltd
Primary Specialty
Optometrist
Enumeration Date
Aug 8, 2006
Last Updated
Dec 29, 2011

Practice Location

Address
609 N HALLECK ST
State
Indiana
ZIP Code
46310-9545
Phone
(219) 987-3673

Authorized Official

Name
DR. TIMOTHY J DEBOER, OD
Title
PRESIDENT
Phone
(219) 987-3673

Specialties & Taxonomy Codes

Specialty
Optometrist

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