Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jake P Bostrom, MD

Individual provider Ophthalmology Physician · NPI 1295886125

Dr. Jake P Bostrom, MD is an Ophthalmology in Boiling Springs, South Carolina. Graduated from University of Tennessee, Hsc, College of Medicine in 2005, 21 years ago. Practices with Palmetto Eye and Laser Center LLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
21
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
SC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1520 Boiling Springs Rd
Boiling Springs, SC 29316
Phone: (864) 583-6381
Fax: (864) 583-6390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 479 Heywood Ave, Spartanburg, SC 29307-1726 — (864) 583-6381

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 31615 (SC)

Record details

NPI number1295886125
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 9, 2019
Mailing address479 Heywood Ave, Spartanburg, SC 29307-1726

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Palmetto Eye And Laser Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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