Lacy Moser Boggs, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003549 Issued in IN

Legal business name

LACY MOSER BOGGS, OD, INC

Practice address

112 W Washington St
Suite 101
Lebanon, IN 46052-2590

Phone

(317) 385-1230

NPI assigned

Aug 20, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lacy BoggsNPI 1013171743

Title

Owner

Phone

(317) 385-1230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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.

• Lacy Ann Boggs, O.D.

  • Optometrist
  • Lebanon, IN
  • NPI 1013171743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1093021677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522590",
            "telephone_number": "317-385-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY MOSER BOGGS, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-385-1230",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alan Joe Laclave, MD
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• Lauren R. Laffoon
• John William Lafollette, LAC, MATS
• Jessica Lagle, RBT
• James L Lamb, MSN, APRN

• Optometrist in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.

Verify at the official NPI Registry.