John Boer, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

637 Issued in SD

Legal business name

JOHN BOER, PC

Practice address

1201 29TH St SE
Ste a
Watertown, SD 57201-9179

Phone

(605) 886-0200

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John D Boer, O.D.

Title

President

Phone

(402) 708-6680

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca J Hofer, OD

  • Optometrist
  • Waite Park, MN
  • NPI 1710903562
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1336345560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E NORTHSTAR LN",
            "address_2": "APT. 206",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084811",
            "telephone_number": "402-708-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 29TH ST SE",
            "address_2": "STE A",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019179",
            "telephone_number": "605-886-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BOER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BOER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-708-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203750",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James a Jones OB/GYN
• Jenkins Living Center, Inc.
• Roberta Jenner, BCBA
• Liza Jensen
• Leah Jessen
• Elizabeth Rae Johnson, P.A.
• Francine Johnson
• Isaac George Johnson, DC
• Kenneth M Johnson, MD
• Kristopher B Johnson, MD

• Optometrist in Watertown, SD
• Providers in Watertown, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.