Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JACOB ANDREW BOEHME
Active
Individual
JACOB ANDREW BOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
114718
IA
152W00000X
Optometrist
3656
TN
152WP0200X
Pediatric Optometrist
114718
IA
152WP0200X
Pediatric Optometrist
Primary
3656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063630
—
TN
Enumeration date
11/05/2020
Last updated
12/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers