JACOB ANDREW BOEHME OD NPI 1942801907

NPI Information

Jacob Andrew Boehme, OD is a pediatrics optometrist in Memphis, TN. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. Jacob Andrew Boehme, OD NPI is 1942801907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1245 MADISON AVE
MEMPHIS, TN
ZIP 38104-211
Phone: (901) 722-3200

The NPI 1942801907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/5/2020 and was last updated on 3/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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