Rebecca Lynne Booras
Technician/Technologist, Optician in Watertown, NY. Individual provider (NPI-1).
NPI number1740109206
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1740109206
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Lynne Booras
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2026
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 009684-1 | NY | Yes |
Practice location
20823 Nys Rt 3Watertown, NY 13601-5821
Phone 315-788-1570 · Fax 315-788-0910
Mailing address
20823 Nys Rt 3Watertown, NY 13601-5821
Phone 315-788-1570 · Fax 315-788-0910
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Optician providers in Watertown · All 1,646 providers in Watertown
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