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Richard Boehm
Eyewear Supplier in Ardmore, Pennsylvania
NPI 1104049501

Richard Boehm is a Eyewear Supplier based in Ardmore, PA. Richard Boehm practices in Ardmore, PA. The NPI Number for Richard Boehm is 1104049501 and holds a License No. NJ D-1242 (Pennsylvania).

The current practice location address for Richard Boehm is 17 E Lancaster Ave, Ardmore, PA and can be reached out via phone at 610-645-0546.

Location: 17 E Lancaster Ave, Ardmore, PA, 19003-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104049501
Provider Name
Richard Boehm
Credential
Provider Entity Type
Individual
Gender
Male
Address
17 E Lancaster Ave, Ardmore, PA, 19003-2319
Phone Number
610-645-0546
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 E Lancaster Ave
City
Ardmore
State
Pennsylvania
Zip
19003-2319
Phone Number
610-645-0546
Fax Number
person
Provider Business Mailing Address Details
Address
17 E Lancaster Ave
City
Ardmore
State
Pennsylvania
Zip
19003-2319
Phone Number
610-645-0546
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
NJ D-1242 (New Jersey)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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