IndividualActive
Jacob Boehme, OD
NPI 1942801907 · Pediatric Optometrist · Memphis, TN
Provider details
- NPI number
- 1942801907
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 3656 (TN)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
1245 Madison Ave
Memphis, TN 38104-2211
Phone: (901) 722-3200
Approximate (ZIP-level) locationGet directions
Mailing address
1245 Madison Ave
Memphis, TN 38104-2211
Additional practice locations (2)
- 105 E 9th StCoralville, IA 52241-2209Phone: (319) 467-2000
- 200 Hawkins DrIowa City, IA 52242-1009Phone: (319) 356-3705Fax: (319) 353-6030
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.