Individual
JEFFREY DAVID BOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6305 LIBRARY RD, SOUTH PARK, PA 15129-8502
(412) 854-4130
(412) 854-8175
Mailing address
418 HAYS RD, VENETIA, PA 15367-1001
(724) 941-3404
(412) 655-6513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000653
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1725156 02
—
PA
01
—
410036489
RAILROAD MEDICARE
PA
Enumeration date
10/04/2005
Last updated
11/15/2024
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