Individual provider Active NPI

Joshua P Boucher, O.D.

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1134209901
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1735 Issued in KS
Practice address
4027 Mill St
Kansas City, MO 64111-3008
Phone
(816) 561-1665
NPI assigned
Oct 16, 2006
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005027604 MO
Optometrist 152W00000X 1735 KS Primary

Addresses

Primary practice location

4027 Mill St
Kansas City, MO 64111-3008

Mailing address

1605 NW Sunridge Dr
Blue Springs, MO 64015-3536
Phone (816) 721-8169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160405001899 MO Practitioner - Optometry 0244538338 Reassigns benefits to 1 organization
I20170119000566 KS Practitioner - Optometry 0244538338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1006 E Waterman St
Wichita, KS 67211-1525
Phone (316) 641-2964

1021 SW Fleming CT
Topeka, KS 66604-1851
Phone (316) 641-2964

1031 SW Fleming CT
Topeka, KS 66604-1851
Phone (316) 641-2964

1220 E 8TH St
Galena, KS 66739-1865
Phone (316) 641-2964

1605 NW Sunridge Dr
Blue Springs, MO 64015-3536

1701 E Walnut Grove Rd
Derby, KS 67037-3528
Phone (316) 641-2964

2108 SW Mitchell St
Oak Grove, MO 64075-9472
Phone (316) 641-2964

2414 N Henderson Dr
Garden City, KS 67846-7600
Phone (316) 641-2964

2725 Church St
Eudora, KS 66025-8703
Phone (316) 641-2964

302 N Botkin St
Attica, KS 67009-9032
Phone (316) 641-2964

304 W 7TH St
Wellsville, KS 66092-7800
Phone (316) 641-2964

3700 E Lincoln St
Wichita, KS 67218-2008
Phone (316) 641-2964

440 SE Woodland Ave
Topeka, KS 66607-2172
Phone (316) 641-2964

4500 W Maple St
Wichita, KS 67209-2567
Phone (316) 641-2964

509 Grove St
Wakefield, KS 67487-9159
Phone (316) 641-2964

5150 Hughes Rd
Leavenworth, KS 66048-4973
Phone (316) 641-2964

611 31St St
Wilson, KS 67490-8740
Phone (316) 641-2964

751 N Somerset Ter
Olathe, KS 66062-5450
Phone (316) 641-2964

757 W Eisenhower Rd
Lansing, KS 66043-2215
Phone (316) 641-2964

791 N Somerset Ter
Olathe, KS 66062-5450
Phone (316) 641-2964

8675 SE 72ND Ter
Baxter SPGS, KS 66713-3186
Phone (316) 641-2964

915 McNair St
Halstead, KS 67056-2518
Phone (316) 641-2964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1735KSMDOptometrist
2005027604MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boucher Eye Care Optometrist CurrentSince Jun 2, 2022 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Locations

400 S Buhler Rd
Buhler, KS 67522
Phone (620) 543-2251

5150 Hughes Rd
Leavenworth, KS 66048
Phone (913) 297-2477

3700 E Lincoln St
Wichita, KS 67218
Phone (316) 686-7171

1301 Monroe St
Chillicothe, MO 64601
Phone (660) 646-5180

206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887

2108 SW Mitchell St
Oak Grove, MO 64075
Phone (816) 690-4118

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1134209901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 NW SUNRIDGE DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153536",
            "telephone_number": "816-721-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 MILL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113008",
            "telephone_number": "816-561-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005027604",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.