Organization Active NPI

De Boer OD., LTD

Doing business as De Boer Family Eyecare

  • Optometrist
  • Demotte, IN
National Provider Identifier
1841307329
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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.NPI 1770566556
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.