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Contact Information

DANIEL E BOONE, OD
107 VILLAGE CENTER ST
NIXA, MO65714-7824
 Phone: 417-725-0000
 Fax: 417-725-0002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DANIEL E BOONE · (Male)

NPI Number 1679521603
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/04/2006
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # T03007
  • MO Medicaid 313422701
  • MO Other 410026504 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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