Marc E Bosem, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0067977 Issued in FL

Practice address

2300 N Commerce Parkway
Suite 201
Weston, FL 33326-3255

Phone

(954) 217-6500

Fax

(954) 217-6506

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Miami, LM Miller School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marc E Bosem MD PAGroup PAC ID 8022914761, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbosem13083@mhsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marc E Bosem MD PA

  dba CorrectVision Laser Institute

  • Ophthalmic Technician/Technologist
  • Weston, FL
  • NPI 1386790939
  Medicare reassignment Care Compare group NPD Authorized official
• Marc E Bosem MD PA

  dba Correctvision Laser Institute

  • Ophthalmology Physician
  • Aventura, FL
  • NPI 1609617992
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1013951839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PARKWAY",
            "address_2": "SUITE 201",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263255",
            "telephone_number": "954-217-6500",
            "fax_number": "954-217-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PARKWAY",
            "address_2": "SUITE 201",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263255",
            "telephone_number": "954-217-6500",
            "fax_number": "954-217-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEM",
        "first_name": "MARC",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0067977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378399500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37839950",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc.bosemmd.p1@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2300 N Commerce Parkway",
            "address_2": "Suite 201",
            "city": "Weston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333263255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ernesto Bonilla, M.D.
• Javier E Bonilla, DDS
• Merelyn Bonilla
• Richard H Boozer, PSY.D.
• Andres Borja Alvarez, MD
• Megan Bost, APRN
• Lais Botelho, MS, RD, LDN
• Juan Botero, M.D.
• Corinne E Bott-Silverman, MD
• Marylise Boutros, M.D. FRCS

• Ophthalmology Physician in Weston, FL
• Providers in Weston, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.