| Boerne Vision Center Pa | |
|
124 E Bandera Rd, Suite 403, Boerne, TX 78006-2849 | |
| (830) 331-8745 | |
| (830) 331-8749 |
| Full Name | Boerne Vision Center Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 124 E Bandera Rd, Boerne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609149731 | NPI | - | NPPES |
| 376409401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Susan L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235683889 PECOS PAC ID: 2769764075 Enrollment ID: I20170123000246 |
| Provider Name | Rebecca Anne Sheeder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255888798 PECOS PAC ID: 4486911880 Enrollment ID: I20171120001030 |
| Provider Name | Aum Nitin Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538773510 PECOS PAC ID: 9830519263 Enrollment ID: I20201023000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Boerne Vision Center Pa 124 E Bandera Rd, Suite 403, Boerne, TX 78006-2849 Ph: (830) 331-8745 | Boerne Vision Center Pa 124 E Bandera Rd, Suite 403, Boerne, TX 78006-2849 Ph: (830) 331-8745 |
Justin M Kim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Norris Ln, Boerne, TX 78006 Phone: 830-249-3898 Fax: 830-249-9228 | |
Susan Ly Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 E Bandera Rd Ste 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 830-331-8749 | |
Boerne Eyes On Main Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1365 S Main St, Boerne, TX 78006 Phone: 210-392-1727 | |
Aeg Texas Professional Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 Rosewood Ave, Boerne, TX 78006 Phone: 830-249-8090 | |
Dr. Clyde Singleton Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27615 Autumn Terrace, Boerne, TX 78006 Phone: 210-732-3200 | |
Stephanie N. Kai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 124 E. Bandera Road, Suite 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 830-331-8749 | |
Amy S Ferguson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 104 Medical Dr., Boerne, TX 78006 Phone: 830-331-8981 Fax: 830-331-8983 |