JACOB ANDREW BOEHME (NPI# 1942801907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942801907 |
| Entity Type | Individual |
| Full Name | JACOB ANDREW BOEHME |
| Credential | OD |
| Practice Address |
1245 Madison Ave Memphis TN 38104-2211 |
| Mailing Address |
15 N Colton Dr North Liberty IA 52317-4816 |
| Practice Telephone | 9017223200 |
| Mailing Telephone | 3195301630 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
3656 | TN | Eye and Vision Services Providers |
| Street Address |
1245 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980097 | Cheryl M Ervin | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2005-08-24 |
| 1447865191 | Shermita Nikia Mitchell | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2020-09-10 |
| 1699388918 | Patrick Fiddler | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2020-08-26 |
| 1053920140 | Elizabeth Pallante | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2020-07-24 |
| 1346868197 | Elyse Rayborn | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2020-07-08 |
| 1982249629 | Kerri Lyons | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2019-11-15 |
| 1154974764 | Kamil Annan Hill | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2019-07-23 |
| 1578120796 | Kevan Smith | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2019-05-22 |
| 1487120895 | Amber Terese Delly | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2018-10-23 |
| 1124509591 | Katlyn Adele Martin | Optometrist | 1245 Madison Ave, Memphis, TN 38104-2211 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818571 | Elizabeth Murray | Optometrist | 930 Madison Ave Ste 400, Memphis, TN 38103-7400 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477501088 | Paula Johnson-wyatt | Optometrist | 1012 Greystone Square, Jackson, TN 38305 | 2006-05-05 |
| 1689179939 | Caitlyn Suzanne Reynolds | Optometrist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3026 | 2018-03-28 |
| 1467550871 | Lori Ann F Kehler | Optometrist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2006-09-20 |
| 1164437836 | Angela Lee Ann Dabbs | Optometrist | 1760 W Morris Blvd, Morristown, TN 37813-2834 | 2006-07-30 |
| 1780664706 | Mary Grace Summers | Optometrist | 8045 Club Pkwy, Cordova, TN 38016-5977 | 2006-01-17 |
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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.