Doctor profile · Federal record
Dr. Lydia Bouman
Optometrist · Medford, OR
- NPI 1003650904
- 2 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1600 N Riverside Ave
Medford, OR 975014652
(458) 658-5295 - Mailing address
-
3420 S Cottage Grove Ave Apt 801
Chicago, IL 606165112
Credentials & registration
- NPI registered
- June 2024 — 2 yrs on file
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Oregon #AT4721
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003650904. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision INC. | 1 | $16.19 |
By nature of payment
Frequently asked questions
What is Dr. Lydia Bouman's medical specialty?
Dr. Lydia Bouman practices Optometrist in Medford, OR.
Where does Dr. Lydia Bouman practice?
Dr. Lydia Bouman practices at 1600 N Riverside Ave, Medford, OR 975014652. Office phone: 4586585295.
What is Dr. Lydia Bouman's NPI?
Dr. Lydia Bouman's National Provider Identifier (NPI) is 1003650904, issued by NPPES.