Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AVERY B BOARDMAN, OD
ActiveDR. AVERY B BOARDMAN, OD is a Optometrist healthcare provider located in WYSOX, Pennsylvania. NPI 1073603718 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WYSOX, PA
Registration Details
- NPI Number
- 1073603718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.842910383955 yrs)
- Last Updated
- Mar 23, 2011
- License
-
OEG000896 (PA)
Practice Information
- Address
-
889 CRAFTMASTER ROADWYSOX, PA, 188540000Browse PA providers · Browse ZIP 18854
- Phone
- 5702653668
- Fax
- 5702658936
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WYSOX, PA
| Name | Credential | NPI |
|---|---|---|
| DR. EILEEN OTTAVIANI | O.D. | 1093871279 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.