| De Boer Od., Ltd | |
|
609 N Halleck St, Demotte, IN 46310-9545 | |
| (219) 987-3673 | |
| (219) 987-3905 |
| Full Name | De Boer Od., Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 609 N Halleck St, Demotte, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841307329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| De Boer Od., Ltd 609 N Halleck St, Demotte, IN 46310-9545 Ph: (219) 987-3673 | De Boer Od., Ltd 609 N Halleck St, Demotte, IN 46310-9545 Ph: (219) 987-3673 |
Dr. John Mark Deboer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 N Halleck St, Demotte, IN 46310 Phone: 219-987-3673 Fax: 219-987-3905 | |
Deboer Od Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 609 N Halleck St, Demotte, IN 46310 Phone: 219-987-3673 | |
Dr. Gerrit H. Devries, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 609 N Halleck St, Demotte, IN 46310 Phone: 219-987-3673 Fax: 219-987-3905 |