Boerne Optical LTD 1

Primary specialty

OptometristTaxonomy code 152W00000X

License

4032TG Issued in TX

Legal business name

BOERNE OPTICAL LTD 1

Practice address

1201 S Main St
Ste 108
Boerne, TX 78006-2833

Phone

(830) 249-3898

Fax

(830) 249-9228

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Scannell, O.D.

Title

Owner

Phone

(830) 249-3898

Specialties & licenses 1

Addresses

Other names 1

• Trinity Vision Center Doing business as

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1861674111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "STE 108",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062833",
            "telephone_number": "830-249-3898",
            "fax_number": "830-249-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "STE 108",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062833",
            "telephone_number": "830-249-3898",
            "fax_number": "830-249-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE OPTICAL LTD 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "SCANNELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-249-3898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4032TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boerne Isd
• Boerne Mens Clinic
• Boerne Nursing Operations, LLC
• Boerne OB/GYN, P.a.
• Boerne Operations LLC
• Boerne Orthodontics, PLLC
• Boerne Pediatrics
• Boerne Physical Therapy Institute
• Boerne Regen and Anti-Aging Center, PLLC
• Boerne Spectrum Physical Therapy 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 Mar 26, 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.