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Contact Information

JEFFREY D BOEHME, OD
6305 LIBRARY RD
SOUTH PARK TOWNSHIP, PA15129-8502
 Phone: 412-854-4130
 Fax: 412-854-8175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY D BOEHME · (Male)

NPI # 1477540433
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/04/2005
Last updated 11/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG000653
  • PA Medicaid 1725156 02
  • PA Other 410036489 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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