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

Richard Boehm

Individual provider Eyewear Supplier · NPI 1104049501

Richard Boehm is an Eyewear Supplier in Ardmore, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007
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Practice location Address checks out

17 E Lancaster Ave
Ardmore, PA 19003-2319
Phone: (610) 645-0546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence NJ D-1242 (NJ)

Record details

NPI number1104049501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007
Mailing address17 E Lancaster Ave, Ardmore, PA 19003-2319

Other providers in Ardmore