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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYDIA BOUMAN

Active

LYDIA BOUMAN is a Optometrist healthcare provider located in MEDFORD, Oregon. NPI 1003650904 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MEDFORD, OR

Registration Details

NPI Number
1003650904
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2024 (2.1482382970674 yrs)
Last Updated
Jun 24, 2024
License
AT4721 (OR)

Practice Information

Address
1600 N RIVERSIDE AVE
MEDFORD, OR, 975014652
Browse OR providers · Browse ZIP 97501
Phone
4586585295
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MEDFORD, OR

Name Credential NPI
DR. GEORGE LAM O.D. 1861495970
DR. FRANCES G CLOYD O.D. 1639172471
DR. MARIA SHAJIDA ESPAT REICH OD 1164415295
DR. GARY H. WHEELER O.D. 1316936214
DENNIS REID KANTOR O.D. 1316901952
DR. WILLIAM KURT WILKENING O. D. 1639126253
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.