Jeffrey A Boomer in Wichita - Ophthalmology
Jeffrey A Boomer - NPI 1396726964
Jeffrey A Boomer is a Ophthalmology in Wichita, Kansas. Jeffrey A Boomer practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jeffrey A Boomer is 1396726964. The last update date is 2011-12-23.
Jeffrey A Boomer's current location address is 1100 N Topeka, Wichita, Kansas. You can contact this provider via phone number 3162636273 and fax number 3162635568. The mailing address for Jeffrey A Boomer is 1100 N Topeka, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Boomer |
|---|---|
| Address | 1100 N Topeka, Wichita, Kansas |
| Phone Number | 3162636273 |
| Fax Number | 3162635568 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396726964 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2011-12-23 |
Provider Mailing Address Detail
| Address | 1100 N Topeka |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672142810 |
| Phone Number | 3162636273 |
| Fax Number | 3162635568 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 04-31763 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200421070C | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey A Boomer by the Centers for Medicare & Medicaid Services?
The Jeffrey A Boomer has been issued the NPI (National Provider Identifier) 1396726964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeffrey A Boomer?
The Jeffrey A Boomer is physically situated at 1100 N Topeka, in the city of Wichita, state of KS, with the postal code 672142810.
What is Jeffrey A Boomer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey A Boomer's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396726964 to Jeffrey A Boomer?
The Centers for Medicare & Medicaid Services originally issued the 1396726964 to Jeffrey A Boomer on 2005-11-09.
As of what date were the details pertaining to Jeffrey A Boomer last refreshed?
The information related to the Jeffrey A Boomer, including its address, specialty, and other relevant details, was last updated on 2011-12-23.