Active NPI
De Boer OD., LTD
Doing business as De Boer Family Eyecare
- Optometrist
- Demotte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DE BOER OD., LTD
- Doing business as
- De Boer Family Eyecare
- Practice address
- 609 N Halleck St
Demotte, IN 46310-9545 - Phone
- (219) 987-3673
- Fax
- (219) 987-3905
- NPI assigned
- Aug 23, 2006
- Last updated
- Sep 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M De Boer, O.D.
- Title
- President
- Phone
- (219) 987-3673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
609 N Halleck St
Demotte, IN 46310-9545
Mailing address
609 N Halleck St
Demotte, IN 46310-9545
Phone (219) 987-3673
Other names 1
- De Boer Family Eyecare
National Provider Directory
National Provider DirectoryLocations
17926 Torrence Ave
Lansing, IL 60438
Phone (708) 474-5700
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Demotte, IN
- NPI 1770566556
-
- Optometrist
- Peoria, IL
- NPI 1346347044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1841307329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N HALLECK ST",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109545",
"telephone_number": "219-987-3673",
"fax_number": "219-987-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N HALLECK ST",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109545",
"telephone_number": "219-987-3673",
"fax_number": "219-987-3905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE BOER OD., LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2025-09-02",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "DE BOER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-987-3673",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "De Boer Family Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.