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DR. PETR FRANKLIN BOSHINSKI OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1124557988
Individual Registrant:DR. PETR FRANKLIN BOSHINSKI OD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
307 BOATNER RD STE 114 EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8132 Fax: --
Tel: 850-883-8132 Fax: --
Contact information for business:
307 BOATNER RD STE 114 EGLIN AFB, FL 32542-1302 US
Tel: -- Fax: 304-422-7900
Tel: -- Fax: 304-422-7900
Registration Information:
NPI: 1124557988
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 152W00000X | Eye and Vision Services Providers Optometrist | OH | 6535 |
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | WV | 2034.OD |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
