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

RICHARD BOEHM

Active Sole Proprietor

RICHARD BOEHM is a Eyewear Supplier healthcare provider located in ARDMORE, Pennsylvania. NPI 1104049501 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · ARDMORE, PA

Registration Details

NPI Number
1104049501
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2007 (19.362370472054 yrs)
Last Updated
Jul 8, 2007
License
NJ D-1242 (NJ)
Sole Proprietor
Yes

Practice Information

Address
17 E LANCASTER AVE
ARDMORE, PA, 190032319
Browse PA providers · Browse ZIP 19003
Phone
6106450546
Primary Specialty
Eyewear Supplier
332H00000X
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.