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NPI Profile for RICHARD BOEHM in ARDMORE, PA.
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI Number | 1104049501 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/11/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RICHARD BOEHM
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RICHARD BOEHM