Dr. David J Boehme, O.D.
Optometrist in South Park, PA. Individual provider (NPI-1).
Details
- NPI
- 1861178428
- Entity type
- Individual (NPI-1)
- Name
- Dr. David J Boehme
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2023
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG004055 | PA | Yes |
Practice location
6305 Library RdSouth Park, PA 15129-8502
Phone 412-854-4130 · Fax 412-854-8175
Mailing address
6305 Library RdSouth Park, PA 15129-8502
Phone 412-854-4130 · Fax 412-854-8175
Other practice locations
West Mifflin, PA 15122-2447
Phone 412-386-8968
Aliquippa, PA 15001-4301
Phone 724-378-8585 · Fax 724-375-1574
Bellevue, PA 15202-3548
Phone 412-766-8875 · Fax 412-766-5760
Monaca, PA 15061-2456
Phone 724-774-7232 · Fax 724-774-1856
Monongahela, PA 15063-2815
Phone 724-258-7695
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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