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Boerne Vision Center PA

Optometrist in Boerne, TX · enumerated 2012 · authorized official Susan Johnson, Owner/Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609149731

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Registry record

Entity type Organization (Type 2)
Legal business name Boerne Vision Center PA
Practice address 124 E Bandera Rd, Suite 403, Boerne, TX, 78006
Fax (830) 331-8749
Enumeration date Feb 21, 2012
Last updated in NPPES Dec 9, 2019

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Susan Johnson
Title Owner/Authorized Official

Other identifiers

Identifier Type State Issuer
376409401 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-09. Verify at npiregistry.cms.hhs.gov.
Where is Boerne Vision Center PA located?
The practice location on file with NPPES is in Boerne, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-09.