MRS. MARY BOEHM (NPI# 1760517759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760517759 |
| Entity Type | Individual |
| Full Name | MRS. MARY BOEHM |
| Credential | O.D. |
| Practice Address |
300 W Portal Ave San Francisco CA 94127-1412 |
| Mailing Address |
754 Glenview Dr Apt 209 San Bruno CA 94066-3708 |
| Practice Telephone | 4157538511 |
| Practice Fax Number | 4157535517 |
| Mailing Telephone | 6508716206 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12085T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629146220 | Mary Boehm | Speech-Language Pathologist | 11701 San Victorio Ave Ne, Albuquerque, NM 87111-5947 | 2006-12-01 |
| 1770674715 | Mary Rose Boehm | Internal Medicine | 200 E. Highland Ave., Suite 2, Clermont, FL 34711-2712 | 2006-09-27 |
| Street Address |
300 W PORTAL AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265823900 | Site Group, LLC | Eyewear Supplier (Equipment, not the service) | 300 W Portal Ave, Suite 100, San Francisco, CA 94127-1412 | 2015-02-17 |
| 1538466081 | Visioncare of California Inc | Optometrist | 300 W Portal Ave, San Francisco, CA 94127-1412 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441882 | Opt Optometric PC | Optometrist | 1415 Valencia St, San Francisco, CA 94110-3716 | 2020-03-11 |
| 1881238145 | Anisha Pradhan | Optometrist | 1188 Mission St, San Francisco, CA 94103-1586 | 2019-10-30 |
| 1215586706 | Adam Glover | Optometrist | 458 27th Ave Apt 4, San Francisco, CA 94121-1858 | 2019-09-06 |
| 1154809358 | Melissa Tawa | Optometrist | 4150 Clement St # 112-a, San Francisco, CA 94121-1563 | 2018-07-31 |
| 1093291452 | Sophia Wong | Optometrist | 3032 Clement St, San Francisco, CA 94121-1889 | 2018-07-18 |
| 1750806196 | Tammy Huang | Optometrist | 1752 Fillmore St, San Francisco, CA 94115-3130 | 2017-08-07 |
| 1497206270 | Peggy Zhu | Optometrist | 438 Holyoke St, San Francisco, CA 94134-1735 | 2016-10-17 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1659724318 | Monica Chernoguz | Optometrist | 1833 Fillmore St Ste 100, San Francisco, CA 94115-3181 | 2016-07-18 |
| 1346626454 | Yana Tsiganenko | Optometrist | 728 Shrader St, San Francisco, CA 94117-2722 | 2015-07-31 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
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| 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.