Boerne Eyes on Main PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

9411T Issued in TX

Legal business name

BOERNE EYES ON MAIN PLLC

Doing business as

Eyes on Main

Practice address

1365 S Main St
Boerne, TX 78006

Phone

(210) 392-1727

NPI assigned

May 23, 2018

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Loren Kathryn Rodgers, ODNPI 1871018382

Title

Optometrist

Phone

(210) 861-2011

Specialties & licenses 3

Addresses

Other names 1

• Eyes on Main Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loren Kathryn Rodgers, OD

  • Optometrist
  • Boerne, TX
  • NPI 1871018382
  Medicare reassignment NPD Authorized official
• Joel George, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1750981684
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1265923361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 S MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062821",
            "telephone_number": "210-861-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 S MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "210-392-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE EYES ON MAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-861-2011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9411T",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "9411T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "9411T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on Main",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boerne Caregiving Company LLC (The Caregiving Company)
• Boerne Dental Center
• Boerne Emergency Physicians, PLLC
• Boerne Emergency Room, LLC
• Boerne Endodontics PLLC (Harkrider Endodontics)
• Boerne Family Dental PLLC (Hill Country Dental Center)
• Boerne Foot and Ankle PLLC
• Boerne Hearing & Tinnitus PLLC
• Boerne Isd
• Boerne Mens Clinic

• Optometrist in Boerne, TX
• Providers in Boerne, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.