Boerne Eyes on Main PLLC
NPI 1265923361ActiveOrganization· Optometrist· Boerne, TX
Optometrist in Boerne, Texas, registered in NPPES in May 2018. The authorized official on file is Loren Kathryn Rodgers, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265923361 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2018 |
| Last updated in NPPES | Jun 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 9411T | TX |
| Optometrist, Low Vision Rehabilitation | 152WL0500X | 9411T | TX |
| Optometrist, Vision Therapy | 152WV0400X | 9411T | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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