Provider Type Icon

DE BOER OD. LTD NPI 1841307329


NPI Information

NPI: 1841307329
Provider Name: DE BOER OD., LTD

Doing Business As: DE BOER FAMILY EYECARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
17926 TORRENCE AVE
LANSING, IL
ZIP 60438
Phone: (708) 474-5700
Get Directions

DE BOER OD., LTD is an optometrist in Lansing, IL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DE BOER OD., LTD NPI is 1841307329. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As De Boer Family Eyecare.

The provider's business location address is:

17926 TORRENCE AVE
LANSING, IL
ZIP 60438-838
Phone: (708) 474-5700
Fax: (708) 889-0889

The provider's authorized official is Timothy J De Boer .
The authorized official title is President and has the following contact phone number (708) 474-5700.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist046008335ILLINOISNo
2152W00000XOptometrist046008139ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10176050001MEDICARE NSCILLINOIS
2CF1117MEDICARE PIN
3216094MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.