David Michael Bosak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004479 Issued in MI

Practice address

6425 S Pennsylvania Ave
Suite 16
Lansing, MI 48911-5975

Phone

(517) 393-2660

Fax

(517) 393-1313

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Goodrich Optical Inc

  • Optometrist
  • Lansing, MI
  • NPI 1811095680
  Medicare reassignment NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1194988790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 S PENNSYLVANIA AVE",
            "address_2": "SUITE 16",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115975",
            "telephone_number": "517-393-2660",
            "fax_number": "517-393-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 S PENNSYLVANIA AVE",
            "address_2": "SUITE 16",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115975",
            "telephone_number": "517-393-2660",
            "fax_number": "517-393-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Borgman, LMSW
• Meghan Born, DO
• Kelsey Bort
• Huiling Bortolin, FNP
• John Michael Borza, CRNA
• Kathleen J Bosma, R.N.
• Jessica Marie Bostwick-Walker
• Marjorie T Bothwell Strickland
• Daniel Francis Bouchard, D.O.
• Angeline Marie Boughner, CHW

• Optometrist in Lansing, MI
• Providers in Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.

Verify at the official NPI Registry.