| Boone Vision Center Llc | |
| 
					621 Story St, Boone, IA 50036-2833  | |
| (515) 432-2973 | |
| (515) 432-1811 | 
| Full Name | Boone Vision Center Llc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 621 Story St, Boone, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750362174 | NPI | - | NPPES | 
| 0480863 | Medicaid | IA | |
| CJ8678 | Other | RRM RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | IA1854 (Iowa) | Primary | 
| Provider Name | Casey M Roelfs | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1881673267 PECOS PAC ID: 0648306837 Enrollment ID: I20100326000510  | 
| Provider Name | Jeffrey C Anderson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1760466098 PECOS PAC ID: 8224021191 Enrollment ID: I20100326000526  | 
| Provider Name | Kyle P Anderson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1568821353 PECOS PAC ID: 4183059660 Enrollment ID: I20200109002187  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Boone Vision Center Llc 621 Story St, Boone, IA 50036-2833 Ph: (515) 432-2973  | Boone Vision Center Llc 621 Story St, Boone, IA 50036-2833 Ph: (515) 432-2973  | 
Dr. James Delbert Barker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 718 Story St, Boone, IA 50036 Phone: 515-432-2020 Fax: 515-432-8482  | |
Dr. Jeffrey Craig Anderson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 621 Story St, Boone, IA 50036 Phone: 515-432-2973  | |
Dr. Casey Matthew Roelfs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 621 Story St, Boone, IA 50036 Phone: 515-432-2973  | |
Macy Dieleman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 718 Story St, Boone, IA 50036 Phone: 515-432-2020 Fax: 515-432-8482  |