Individual provider · Type 1 NPI

Richard Boehm

Eyewear Supplier · Ardmore, PA

NPI number 1104049501 Active

Practice location

17 E Lancaster Ave
Ardmore, PA 19003-2319

Call (610) 645-0546 Map

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XNJ D-1242 (NJ)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

About NPI 1104049501

Richard Boehm's National Provider Identifier is 1104049501, issued on Apr 11, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Ardmore, PA. The record was last updated on Jul 8, 2007.