Active NPI
Joshua P Boucher, O.D.
- Optometrist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1735
- Practice address
- 4027 Mill St
Kansas City, MO 64111-3008 - Phone
- (816) 561-1665
- NPI assigned
- Oct 16, 2006
- Last updated
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1735 | KS | MD | Optometrist |
| 2005027604 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boucher Eye Care | Optometrist | Current | 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.
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1255363768
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.