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BOERNE VISION CENTER PA
NPI 1609149731
Optometrist in Boerne, TX

Active since February 21, 2012
124 E BANDERA RD, SUITE 403, BOERNE, TX 78006(830) 331-8745(830) 331-8749 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2019, Apr 11, 2018 (2 updates tracked since 2018).

About Boerne Vision Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOERNE VISION CENTER PA (NPI 1609149731) is a healthcare organization registered as an optometrist in Boerne, Texas and active in the NPI registry since February 2012. The organization lists Susan Ly Johnson, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1609149731
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBOERNE VISION CENTER PA
Location Address124 E BANDERA RD, SUITE 403Boerne, TX 78006-2849
Mailing Address124 E Bandera Rd, Suite 403Boerne, TX 78006-2849 · (830) 331-8745 · Fax (830) 331-8749
Phone(830) 331-8745
Fax(830) 331-8749
Organization SubpartNo
Authorized OfficialSusan Ly JohnsonOwner/authorized Official · (830) 331-8745
Enumeration DateFebruary 21, 2012
Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration
✔ NPI 1609149731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
124 E BANDERA RD, Boerne, TX 78006
Open in Google Maps ↗

Other Identifiers 1

Medicaid376409401TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL AUBREY GRAVEL M.D.
Pediatrics
124 E BANDERA RD, SUITE 304
BOERNE, TX 78006
Kendall County (830) 816-5055
MICHAEL RYAN MSN, APRN, FNP-C
Nurse Practitioner (Family)
124 E BANDERA RD, STE 102
BOERNE, TX 78006
Kendall County (830) 816-2312
BARBARA A NORVELL AUDIOLOGIST
Audiologist
124 E BANDERA RD, SUITE 201
BOERNE, TX 78006
Kendall County (830) 331-9886
DR. JENNIFER L JOHNSON O.D.
Optometrist
124 E BANDERA RD, STE 403
BOERNE, TX 78006
Kendall County (830) 331-8745
ANNE D LOGAN MDPA
Pediatrics
124 E BANDERA RD, SUITE 304
BOERNE, TX 78006
Kendall County (830) 816-5055
SUSAN ANNETTE LEE MD
Family Medicine
124 E BANDERA RD, STE. 102
BOERNE, TX 78006
Kendall County (830) 816-2312
BOERNE WOMEN'S CARE, PLLC
Obstetrics & Gynecology (Gynecology)
124 E BANDERA RD, SUITE 204
BOERNE, TX 78006
Kendall County (830) 331-9674
DIAZ VISION CENTER PA
Ophthalmology
124 E BANDERA RD, SUITE 404
BOERNE, TX 78006
Kendall County (830) 249-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boerne Vision Center PA's NPI number?

The NPI number for Boerne Vision Center PA is 1609149731. It was assigned to this organization in the NPPES registry on February 21, 2012.

Where is Boerne Vision Center PA located?

Boerne Vision Center PA is located at 124 E Bandera Rd Suite 403, Boerne, TX 78006. The listed phone number is (830) 331-8745.

What is Boerne Vision Center PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Boerne Vision Center PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Boerne Vision Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boerne Vision Center PA was last updated on December 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.