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

Jacob Andrew Boehme, OD

Individual provider Pediatric Optometrist · NPI 1942801907

Jacob Andrew Boehme, OD is an Optometry in Memphis, Tennessee. Qualified in 2020, 6 years ago. Practices with State University of Iowa, a 1,885-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Tennessee.

Years since qualifying
6
Licensed in
IA, TN
In the registry since
2020
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1245 Madison Ave
Memphis, TN 38104-2211
Phone: (901) 722-3200
Show map & directions

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

Additional practice locations (2)

  • 105 E 9th St, Coralville, IA 52241-2209 — (319) 467-2000
  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 356-3705

Specialties & licences

Pediatric Optometrist (primary) Taxonomy 152WP0200X · Licence 3656 (TN)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 114718 (IA)
Optometrist Taxonomy 152W00000X · Licence 3656 (TN)
Optometrist Taxonomy 152W00000X · Licence 114718 (IA)

Record details

NPI number1942801907
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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