Mitch Bovy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 15012TLG Issued in CA

Practice address

3801 Katella Ave
Los Alamitos, CA 90720-3338

Phone

(562) 598-7728

NPI assigned

Oct 20, 2014

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 CA

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

Illinois College of Optometry at Chicago, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectacle Optometry IncGroup PAC ID 1759619687, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mbovy@scepa.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectacle Optometry, Inc.

  • Optometrist
  • Anaheim, CA
  • NPI 1134690811
  Medicare reassignment Care Compare group NPD
• Lakewood Eye Physicians and Surgeons Inc a Medical Group

  dba Los Alamitos Eye Physicians & Surgeons Inc

  • Specialist
  • Los Alamitos, CA
  • NPI 1457548992

  Optometrist

  Medicare reassignment NPD
• Lakewood Eye Physicians and Surgeons Inc a Medical Group

  • Specialist
  • Long Beach, CA
  • NPI 1164406021

  Optometrist

  NPD

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1215331269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18119 BURKE LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928868680",
            "telephone_number": "714-801-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-598-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 E La Palma Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928072122",
            "country_code": "US",
            "telephone_number": "714-340-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVY",
        "first_name": "MITCH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-20",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 15012TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Bond, PHARMD
• Gala Borges, MS, LMFT
• Martin B Borissov, MD
• Austin Bou, RD, CDCES
• Jill Bourget
• Mary Grace Binas Bowers, PMHNP
• George P Bozeman, MD
• Sarah Elaine Brady, P.T.
• Tyler Joseph Branco, M.S., LMFT
• Ramandeep K Brar, M.D.

• Optometrist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.