Dr. Jake P Bostrom is a Boiling Springs, South Carolina based male Ophthalmologist with 19 years of experience in Ophthalmology. He completed his graduation from University Of Tennessee, Hsc, College Of Medicine in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jake P Bostrom is 31615 for Ophthalmology in South Carolina. Dr. Jake P Bostrom is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Jake P Bostrom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
19+ years
Medical School Attended:
University Of Tennessee, Hsc, College Of Medicine
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1520 Boiling Springs Rd, Boiling Springs, South Carolina, 29316
Phone:
864-583-6381
Fax:
864-583-6390
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2668526559
Enrollment ID:
I20090811000722
NPI Number:
1295886125
NPI Enumeration Date:
16 Jan, 2007
NPI Last Update On:
09 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jake P Bostrom are as mentioned below.
License Number
Specialization
State
Status
31615
Ophthalmology
South Carolina
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jake P Bostrom has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Palmetto Eye And Laser Center Llc (1850317819)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jake P Bostrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
AA3955-7292
Other
South Carolina
MEDICARE PTAN
31615
Other
South Carolina
SC LICENSE
1457384729
Other
South Carolina
GROUP NPI
316152
Medicaid
South Carolina
P01501403
Other
South Carolina
RR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
479 Heywood Ave, Spartanburg, South Carolina
Zip:
29307-1726
Phone Number:
864-583-6381
Fax Number:
864-583-6390
Patients can reach Dr. Jake P Bostrom at 1520 Boiling Springs Rd, Boiling Springs, South Carolina or can call to book an appointment on 864-583-6381. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Ophthalmologist in Boiling Springs, SC
Todd D Gwin, MD 38+ yr exp.Speciality: Ophthalmologist Address: 1520 Boiling Springs Rd, SC Phone: 864-583-6381 Fax: 864-583-5337