Active NPI
Joshua E. Bostick, O.D., P.a.
- Optometrist
- Saltillo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 821
- Legal business name
- JOSHUA E. BOSTICK, O.D., P.A.
- Practice address
- 122 Willowbrook Dr
Saltillo, MS 38866-6895 - Phone
- (662) 869-1779
- Fax
- (662) 869-3776
- NPI assigned
- Aug 17, 2010
- Last updated
- Dec 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Edwin Bostick, O.D.
- Title
- Optometrist
- Phone
- (662) 869-1779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 821 | MS | Primary |
Addresses
Primary practice location
122 Willowbrook Dr
Saltillo, MS 38866-6895
Mailing address
122 Willowbrook Dr
Saltillo, MS 38866-6895
Phone (662) 869-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07622573 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
107 Town Creek Dr
Saltillo, MS 38866
Phone (662) 869-1779
122 Willowbrook Dr
Saltillo, MS 38866
Phone (662) 869-1779
Interoperability endpoints
- annaklansdell@eyeclinicsaltillo.eyefinity-direct.com
- joshuaebostick@eyeclinicsaltillo.eyefinity-direct.com
- ryandrussell@eyeclinicsaltillo.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Saltillo, MS
- NPI 1184937690
-
- Optometrist
- Saltillo, MS
- NPI 1003487463
-
- Optometrist
- Tupelo, MS
- NPI 1831180900
-
- Optometrist
- Saltillo, MS
- NPI 1720053952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1093020893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WILLOWBROOK DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388666895",
"telephone_number": "662-869-1779",
"fax_number": "662-869-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WILLOWBROOK DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388666895",
"telephone_number": "662-869-1779",
"fax_number": "662-869-3776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA E. BOSTICK, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-17",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "BOSTICK",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "662-869-1779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07622573",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saltillo, MS
- Internal Medicine and Pediatric Clinic of New Albany, PLLC (Internal Medicine and Pediatric Clinic)
- Margaret Jarvis, RD
- Jennifer Key Jernighan, RN
- Ashley H Johnson, RN
- Mitchell Van Johnson, PT
- Julie C. Brock, O.D., Inc. (The Eye Clinic of Saltillo)
- Jennifer K Kendrick, LCSW
- James Bryson Kimbrough, DPT
- Jessica Patterson Koon
- Anna Katherine Lansdell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.