Dr. Staci Anne Boon
Optometrist
909 E San Marnan Dr
Waterloo
, Iowa 50702-5611
Dr. Staci Anne Boon
Optometrist
909 E San Marnan Dr
Waterloo
, Iowa 50702-5611
(319) 235-5607
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Staci Anne Boon
- Po Box 2758
- Waterloo, IA
- Zip : 50704-2758
- Fax : (319) 235-5607
- Phone : (319) 235-5390
Second Address
- Dr. Staci Anne Boon
- 909 E San Marnan Dr
- Waterloo, IA
- Zip : 50702-5611
- Fax : (319) 234-1939
- Phone : (319) 233-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 072761 | IA |
National Provider Identifier
| NPI | 1013261510 |
|---|---|
| Provider Name | Dr. Staci Anne Boon |
| First Address | Waterloo, IA 50704-2758 |
| Second Address | Waterloo, IA 50702-5611 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2012 |
| Last Update Date | 26/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.