Individual provider Active NPI

Angela Lynn Bosjolie, DO

  • Ophthalmology Physician
  • Waterbury, CT
National Provider Identifier
1093891608
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
53988 Issued in CT
Practice address
1201 W Main St Ste 100
Waterbury, CT 06708-3105
Phone
(203) 597-9100
NPI assigned
Oct 27, 2006
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 53988 CT Primary

Addresses

Primary practice location

1201 W Main St Ste 100
Waterbury, CT 06708-3105

Mailing address

1201 W Main St Ste 100
Waterbury, CT 06708-3105
Phone (203) 597-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abosjolie@tecg.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20040625001012 CT Practitioner - Ophthalmology 0840276291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Care Group, P.C.Group PAC ID 6103876628, 16 clinicians

Practice addresses (Care Compare)

1201 W Main St
Suite 100
Waterbury, CT 06708-3105
Phone (203) 573-4849

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
002620CTMDClinical Psychologist
53988CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Group Ophthalmology CurrentSince Jun 17, 2025 Accepting new patients
The Eye Care Group, P.C. Ophthalmology CurrentSince Jun 17, 2025 Accepting new patients
Art of Eyecare, PC PastSince Oct 1, 2002 Accepting new patients
Roger Hirons OD LLC Past Accepting new patients

Locations

22 Old Waterbury Rd
Ste 106
Southbury, CT 06488
Phone (203) 739-7040

1201 W Main St
Ste 100
Waterbury, CT 06708
Phone (203) 573-4849

Interoperability endpoints

  • Direct secure messaging: abosjolie@refocus.intellechartdirect.net
  • Direct secure messaging: abosjolie@tecg.intellechartdirect.net
  • Direct secure messaging: angela.bosjolie.p1@direct.nri.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1093891608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST STE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST STE 100",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSJOLIE",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "53988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abosjolie@tecg.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1201 W Main St Ste 100",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067083105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.