Jacob Andrew Boehme, OD
Pediatric Optometrist · Memphis, TN
Jacob Andrew Boehme, OD is a pediatric optometrist with a practice address in Memphis, Tennessee, and NPI 1942801907, issued on Nov 5, 2020. Check the license (Tennessee 3656, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Andrew Boehme
- Credential
- OD
- Primary taxonomy
- Pediatric Optometrist 152WP0200X
- License numbers
- 3656 TN
114718 IA
Self-reported in NPPES; status is on the state search - Practice location
- 1245 Madison Ave, Memphis, TN 38104
- Phone
- (901) 722-3200
- Enumerated
- Nov 5, 2020
- Record last updated
- Dec 31, 2025
- Medicaid ID
- Q063630 TN
- Medicare enrollment
- Enrolled (PECOS I20260105000385); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatric optometrist records → All 12 in Tennessee → Look up another NPI →
Also registered at 1245 Madison Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amber Delly, ODPediatric Optometrist1487120895
- Michael Dorkowski, O.D.Optometrist1114963683
- Carolyn Draude, ODOptometrist1518447036
- William Edmondson, ODOptometrist1679592679
- Cheryl Ervin, ODOptometrist1811980097
- Tressa Eubank, ODOptometrist1467445643
Verify Jacob Andrew Boehme in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 3656Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $122.46
1 payment: food and beverage; the largest payer was Dompe US, Inc. The 121 providers of this specialty with any payment received $408.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- State University OF IowaCoralville, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Andrew Boehme among 12 pediatric optometrist records in Tennessee
Jacob Andrew Boehme, OD is one of 12 pediatric optometrist records with a practice address in Tennessee. 33% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 83% of them.
- NPI issued2020 · 83% of these records are older, 8% newer
- In a Medicare fileYes · 33% of these records are
- In the CMS Doctors and Clinicians fileYes · 33% of these records are
- Record last updated2025 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152WP0200X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Optometrist providers in Tennessee
There are 12 pediatric optometrist records in Tennessee.
All 12 in Tennessee → Every provider in Memphis → Pediatric Optometrist nationwide →
The 8 pediatric optometrist records with the nearest ZIP codes
- Mary Bartuccio Valentino, O.D.Memphis, TN 381041326124991
- Amber Delly, ODMemphis, TN 381041487120895
- Sonya Okungu, ODMemphis, TN 381041205786175
- Julie Shalhoub, O.D.Memphis, TN 381041558744821
- Mary Summers, O.D.Cordova, TN 380161780664706
- Mary Conway, O. D.Knoxville, TN 379191790823201
- Paula Johnson-Wyatt, ODJackson, TN 383051477501088
- Angela Dabbs, ODMorristown, TN 378131164437836
Common questions
What is Jacob Andrew Boehme, OD's NPI number?
Jacob Andrew Boehme, OD's National Provider Identifier (NPI) is 1942801907, issued on Nov 5, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Andrew Boehme, OD located?
The NPPES record lists a practice address at 1245 Madison Ave, Memphis, TN, 38104. Phone: (901) 722-3200. Providers update this record themselves, so call before visiting.
How can I verify Jacob Andrew Boehme, OD's license?
NPPES lists Tennessee license number 3656, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.