Matthew Thomas Boswell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2022 Issued in KS

Practice address

3000 E 9TH Ave
Winfield, KS 67156-3439

Phone

(620) 221-2492

Fax

(620) 221-2015

NPI assigned

Jun 30, 2016

Last updated

Oct 24, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KS Family Optometry LLCGroup PAC ID 5496710394, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: matthewboswell@direct.eyecare-partners.com

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

• KS Family Optometry LLC

  dba Andover Family Optometry

  • Optometrist
  • Winfield, KS
  • NPI 1528187325
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1083065122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563439",
            "telephone_number": "620-221-2015",
            "fax_number": "620-221-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563439",
            "telephone_number": "620-221-2492",
            "fax_number": "620-221-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004639110001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olyvia McKenzie Bish, LAT, ATC
• Michelle Renee Blair-Wunderlich, NP
• Arden William Bloedel Jr., CRNA
• Michelle Bloedel, CRNA
• Patrick Russell Bloedel, M.D.
• Branches of Life LLC (Branches of Life)
• Joshua Clayton Brandt, APRN
• Haleigh Ann Briggs, LMSW
• Wayne Alvin Brooks, DC
• Todd J Brown, LAC

• Optometrist in Winfield, KS
• Providers in Winfield, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.