DR. JEFFREY A BOOMER


Address: 1100 N Topeka, Wichita, KS 67214-2810
Phone: 3162636273

DR. JEFFREY A BOOMER (NPI# 1396726964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396726964
Entity Type Individual
Full Name DR. JEFFREY A BOOMER
Credential M.D.
Practice Address 1100 N Topeka
Wichita
KS 67214-2810
Practice Telephone 3162636273
Practice Fax Number 3162635568
Mailing Telephone 3162636273
Mailing Fax Number 3162635568
Enumeration Date 2005-11-09
Last Update Date 2011-12-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 04-31763 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS 200421070C 05

Office Location

Street Address 1100 N TOPEKA
City WICHITA
State KS
Zip Code 67214-2810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922104470 Vision Surgery Consultants Pa Ophthalmology 1100 N Topeka, Wichita, KS 67214-2810 2006-09-15
1003886870 Caring Anesthesia Pa Nurse Anesthetist, Certified Registered 1100 N Topeka, Wichita, KS 67214 2006-01-25
1376513135 Don R Hirschman Nurse Anesthetist, Certified Registered 1100 N Topeka, Wichita, KS 67214 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124591185 Laquita Patrice Boyede Durable Medical Equipment & Medical Supplies 1503 Northeast Parkway, Wichita, KS 67214 2019-01-02
1891270674 Kathryn Denise Boomer Physician Assistant 929 St. Francis N, Wichita, KS 67214 2018-09-27
1447756457 Cardinal Health 132 LLC Pharmacy 527 N Grove Street, Suite 100, Wichita, KS 67214 2018-03-30
1023517174 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3243 E Murdock Street, Level G, Wichita, KS 67214 2018-02-05
1558887901 Shonnetta Lachan Gabriel Counselor 2707 E. 21st St. N, Wichita, KS 67214 2017-08-17
1417492174 Walgreen Co Durable Medical Equipment & Medical Supplies 803 N Broadway Ave, Wichita, KS 67214 2017-01-04
1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
1063899813 Christy Lee Foos Social Worker 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 2015-04-30
1952708018 William Schroeder Fargo Specialist 701 N. Emporia, Wichita, KS 67214 2014-12-04
1447692710 Valeriya V Hunter Dentist 527 N Grove, Wichita, KS 67214 2013-07-26
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750614293 Donald C Fletcher Md LLC Ophthalmology 610 N Main St Fl 2, Wichita, KS 67203-3618 2009-09-16
1043422769 Grene Vision Group LLC Ophthalmology 1277 N Maize Rd, Wichita, KS 67212 2007-05-04
1346288149 Reena Natvarlal Patel Ophthalmology 2552 N Maize Rd, Suite 200, Wichita, KS 67205-7341 2006-06-03
1215903570 Donald B Scrafford Ophthalmology 3607 N Ridge, Wichita, KS 67205 2006-02-27
1134195464 Michael S Bolt Ophthalmology 834 N Socora, Ste 2, Wichita, KS 67212 2006-02-27
1194790048 Bruce B Ochsner Ophthalmology 1100 N Topeka St, Wichita, KS 67214-2810 2006-02-22
1659346245 Samuel W Amstutz Ophthalmology 655 N Woodlawn, Wichita, KS 67208 2006-02-17
1285627562 Grene Vision Group LLC Ophthalmology 1851 N Webb Rd, Wichita, KS 67206-3413 2005-08-23
1730180886 Michael P Varenhorst Ophthalmology 530 N Lorraine St, Wichita, KS 67214-4837 2005-08-10
1528061587 Charles Roy Whitfill Ophthalmology 655 N Woodlawn St, Wichita, KS 67208 2005-05-24
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City WICHITA
Zip Code 67214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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