BOREING VISION CLINIC (NPI# 1770617342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770617342 |
| Entity Type | Organization |
| Organization Name | BOREING VISION CLINIC |
| Practice Address |
500 W Mcneese St Lake Charles LA 70605-5528 |
| Practice Telephone | 3374746161 |
| Practice Fax Number | 3374746474 |
| Mailing Telephone | 3374746161 |
| Mailing Fax Number | 3374746474 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TIMOTHY GRAVES BOREING (OWNER) |
| Authorized Official Telephone | 3374746161 |
| Authorized Official Credential | OPTOMETRIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
904-130T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 4318819170 | BLUECROSS BLUESHIELD | 01 |
| Street Address |
500 W MCNEESE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548341183 | Timothy Graves Boreing Sr. | Optometrist | 500 W Mcneese St, Lake Charles, LA 70605-5528 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417138751 | Devjani Lahiri-munir, A Professional Corporation | Optometrist | 309 Iberville St, Donaldsonville, LA 70346 | 2007-11-15 |
| 1891879821 | The Visual Difference LLC | Optometrist | 303 N Trenton St, Ruston, LA 71270-3805 | 2006-10-25 |
| 1174565295 | Jennifer Ann Floyd | Optometrist | 1010 S Vienna St, Ruston, LA 71270-5832 | 2006-06-12 |
| 1811305949 | Jonathan Erik Scogin | Optometrist | 1804 N 7th St, West Monroe, LA 71291-4414 | 2014-08-01 |
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on BOREING VISION CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.