Staci Anne Boon, O.D.

Optometrist · Waterloo, IA

Individual Active NPI

NPI number 1013261510

Practice location

909 E San Marnan Dr
Waterloo, IA 50702-5611
Phone
(319) 233-2020
Fax
(319) 234-1939

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NPI record

NPI
1013261510
Entity type
Individual (Type 1)
Enumeration date
November 5, 2012
Last updated
March 10, 2022
Certified
March 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 072761 IA

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone
(319) 235-5390
Fax
(319) 235-5607

About Dr. Boon

Staci Anne Boon, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 909 E San Marnan Dr, Waterloo, IA 50702-5611. The NPI number 1013261510 was assigned on November 5, 2012 and the record was last updated on March 10, 2022.

Dr. Boon lists a license in the registry: #072761 (IA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Staci Anne Boon, O.D.?

The NPI number is 1013261510.

What is the phone number of Dr. Boon?

The phone number listed for the practice location is (319) 233-2020.

Where is Dr. Boon located?

909 E San Marnan Dr, Waterloo, IA 50702-5611.

What is the taxonomy code for Dr. Boon?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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