Jacob Andrew Boroff

Optometrist · Dayton, OH

Individual Active NPI

NPI number 1740784537

Practice location

4100 W 3rd St
Dayton, OH 45428
Phone
(937) 268-6511

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NPI record

NPI
1740784537
Entity type
Individual (Type 1)
Enumeration date
March 19, 2018
Last updated
June 24, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPT.006634 OH
Student in an Organized Health Care Education/Training Program 390200000X — OH

Mailing address

275 E 15TH Ave
Columbus, OH 43201-1901
Phone
(419) 566-7391

About Jacob Boroff

Jacob Andrew Boroff is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4100 W 3rd St, Dayton, OH 45428. The NPI number 1740784537 was assigned on March 19, 2018 and the record was last updated on June 24, 2018.

Jacob Boroff lists a license in the registry: #OPT.006634 (OH) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Andrew Boroff?

The NPI number is 1740784537.

What is the phone number of Jacob Boroff?

The phone number listed for the practice location is (937) 268-6511.

Where is Jacob Boroff located?

4100 W 3rd St, Dayton, OH 45428.

What is the taxonomy code for Jacob Boroff?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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