MS. SOPHIA BOETTCHER


Address: 367 Santana Hts Unit 4014, San Jose, CA 95128-2078
Phone: 4259613003

MS. SOPHIA BOETTCHER (NPI# 1336791961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336791961
Entity Type Individual
Full Name MS. SOPHIA BOETTCHER
Credential BSC, RH-AHG, DD, NP
Practice Address 367 Santana Hts Unit 4014
San Jose
CA 95128-2078
Practice Telephone 4259613003
Enumeration Date 2019-07-13
Last Update Date 2019-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156F00000X Technician/Technologist CA Eye and Vision Services Providers

Office Location

Street Address 367 SANTANA HTS UNIT 4014
City SAN JOSE
State CA
Zip Code 95128-2078

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Taxonomy Information

Taxonomy Code 156F00000X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist

Taxonomy Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629540844 Deborah Jeansonne Toms Technician/Technologist 275 Hospital Pkwy Ste 425, San Jose, CA 95119-1138 2018-12-28
1750596755 Timothy Earl Wiley Technician/Technologist 227 N Jackson Ave, San Jose, CA 95116-1603 2007-05-11

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Competitor

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City SAN JOSE
Zip Code 95128

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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