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JIM BOMAN
NPI 1407628688
Technician/Technologist - Ophthalmic in Philadelphia, PA

Active since October 23, 2023
3200 RED LION RD, PHILADELPHIA, PA 19114(215) 632-7378 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2025, May 4, 2024, Oct 23, 2023 (3 updates tracked since 2023).

About Jim Boman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM BOMAN (NPI 1407628688) is an individual ophthalmic provider in Philadelphia, Pennsylvania and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1407628688
Entity TypeIndividualMale
Primary Taxonomy156FX1100X
Provider Legal NameJIM BOMAN
Location Address3200 RED LION RDPhiladelphia, PA 19114-1129
Mailing Address3200 Red Lion RdPhiladelphia, PA 19114-1129
Phone(215) 632-7378
Sole ProprietorNo
Enumeration DateOctober 23, 2023
Last NPPES UpdateMarch 23, 20253 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
✔ NPI 1407628688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OphthalmicEye and Vision Services Providers
Taxonomy Code156FX1100X
Definition
An ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.
3200 RED LION RD, Philadelphia, PA 19114
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIRIAM DATIKASHVILI PHARMD
Pharmacist
3200 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 637-1200
TODAYS EYEWEAR
Technician/Technologist (Optician)
3200 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 632-7378
SWAPNIL DIPAK GHODADRA RPH
Pharmacist
3200 RED LION RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 637-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Boman's NPI number?

The NPI number for Jim Boman is 1407628688. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Jim Boman located?

Jim Boman practices at 3200 Red Lion Rd, Philadelphia, PA 19114. The listed phone number is (215) 632-7378.

What is Jim Boman's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ophthalmic, with taxonomy code 156FX1100X.

When was this NPI record last updated?

The NPPES record for Jim Boman was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.