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Zachary Boucher

NPI 1518794346 · on the registry since 2024

Practice

Address
1213 Market Pl
Irving, TX 75063
Phone
(972) 401-0230
Organisation at this address
Sams East Inc
Sam'S Club Optical
Valley Ranch Eye Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas