Doctor profile · Federal record

Dr. Lydia Bouman

Optometrist · Medford, OR

  • NPI 1003650904
  • 2 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
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

NPPES · NUCC
NPI registered
June 2024 — 2 yrs on file
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Oregon #AT4721

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003650904. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
CooperVision INC. 1 $16.19

By nature of payment

Food and Beverage
$16

Frequently asked questions

Auto-generated from federal data
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.