Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MARK DEBOER, O.D.
ActiveDR. JOHN MARK DEBOER, O.D. is a Optometrist healthcare provider located in DEMOTTE, Indiana. NPI 1770566556 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DEMOTTE, IN
Registration Details
- NPI Number
- 1770566556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2005 (20.676387337996 yrs)
- Last Updated
- Sep 2, 2010
- Licenses
-
18002449 (IN)046-008335 (IL)
Practice Information
- Address
-
609 N HALLECK STDEMOTTE, IN, 463109545Browse IN providers · Browse ZIP 46310
- Phone
- 2199873673
- Fax
- 2199873905
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in DEMOTTE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. GERRIT H. DEVRIES | O.D. | 1992729206 |
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.