NPI 1134791981

Mary Elizabeth Boeckman, OD

Practitioner Optometrist Fremont, NE

Practice location

Address: 2955 E Elk Ln, Fremont, NE 68025-8814
Phone: (402) 721-8032
Mailing address: 3505 N 175th Plz APT 106, Omaha, NE 68116-2795

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1550 (NE)

Other Optometrist providers in Nebraska →

Registry record

NPI: 1134791981
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2021
Record last updated: 12 Jul 2021

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.