IndividualActive
Boonkit Purt, MD
NPI 1376903377 · Ophthalmology Physician · Joint Base Lewis Mcchord, WA
Provider details
- NPI number
- 1376903377
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01078922A (IN)
Practice location
9040 Fitzsimmons Dr
Joint Base Lewis Mcchord, WA 98431-1000
Phone: (253) 968-1760
Mailing address
9040 Jackson Avenue
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2025-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.