Steven D Boeke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1634 Issued in IA

Practice address

999 Home PLZ
Waterloo, IA 50701-4822

Phone

(319) 236-0815

Fax

(319) 234-0847

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1770544736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HOME PLZ",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014822",
            "telephone_number": "319-236-0815",
            "fax_number": "319-234-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HOME PLZ",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014822",
            "telephone_number": "319-236-0815",
            "fax_number": "319-234-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKE",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF IA",
            "identifier": "18418",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CG4244",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117267",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayde Russell Blumhardt, CRNA
• Kathryn Marie Boaldin, DPT
• Bryan Boardsen, MOT
• Ann Marie Bock, MSN,ARNP, FNP-C
• Zubair Hassan Bodla, M.D.
• Vinko M Bogdanic, M.D.
• Kayln Marie Boge-Kleiss, ARNP
• Allison Katherine Bohlman, MS, RD, LD
• Jane Kristine Bohnenkamp, MA CCCA
• Kathleen Jo Bohr, DDS

• Optometrist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.