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

Jack Booden Jr., CPO

Individual provider Orthotist · NPI 1841319415

Jack Booden Jr., CPO is an Orthotist in Norfolk, Virginia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2418 Granby St
Norfolk, VA 23517-1422
Phone: (757) 627-4191
Fax: (757) 627-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO 00503
Orthotist Taxonomy 222Z00000X · Licence CPO 00503

Record details

NPI number1841319415
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESSeptember 11, 2025

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