Avery B Boardman is a Optometrist in Wysox, Pennsylvania. Avery B Boardman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Avery B Boardman is 1073603718. The last update date is 2011-03-23.
Avery B Boardman's current location address is 889 Craftmaster Road, Wysox, Pennsylvania. You can contact this provider via phone number 5702653668 and fax number 5702658936. The mailing address for Avery B Boardman is 889 Craftmaster Road, Wysox, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Avery B Boardman |
|---|---|
| Address | 889 Craftmaster Road, Wysox, Pennsylvania |
| Phone Number | 5702653668 |
| Fax Number | 5702658936 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1073603718 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2011-03-23 |
Provider Mailing Address Detail
| Address | 889 Craftmaster Road |
|---|---|
| City | Wysox |
| State | Pennsylvania (PA) |
| Post Code | 188540000 |
| Phone Number | 5702653668 |
| Fax Number | 5702658936 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OEG000896 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12690190004 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Avery B Boardman by the Centers for Medicare & Medicaid Services?
The Avery B Boardman has been assigned the NPI (National Provider Identifier) 1073603718. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Avery B Boardman is geographically located?
The Avery B Boardman is physically situated at the following location: 889 Craftmaster Road, Wysox, PA, 188540000.
What is Avery B Boardman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Avery B Boardman's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When did the Avery B Boardman receive its 1073603718?
The Avery B Boardman was issued its 1073603718 on 2006-10-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Avery B Boardman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Avery B Boardman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-23.