NPI 1013261510

Staci Anne Boon, OD

Practitioner Optometrist Waterloo, IA

Practice location

Address: 909 E San Marnan Dr, Waterloo, IA 50702-5611
Phone: (319) 233-2020
Fax: (319) 234-1939
Mailing address: PO Box 2758, Waterloo, IA 50704-2758

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 072761 (IA)

Other Optometrist providers in Iowa →

Registry record

NPI: 1013261510
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2012
Record last updated: 10 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.