Steven a Boskovich MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

STEVEN A BOSKOVICH MD PC

Doing business as

Michigan Retina-Vitreous Institute

Practice address

1290 S Linden Rd
Flint, MI 48532-3407

Phone

(810) 732-6231

Fax

(810) 732-0725

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Allen Boskovich, MDNPI 1043289150

Title

President Owner

Phone

(810) 732-6231

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Michigan Retina-Vitreous Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Allen Boskovich, MD

  • Ophthalmology Physician
  • Flint, MI
  • NPI 1043289150
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1225007198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-732-6231",
            "fax_number": "810-732-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-732-6231",
            "fax_number": "810-732-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A BOSKOVICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "BOSKOVICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "810-732-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1802518111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1802518111",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2942116",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C2759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "1802518111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Retina-Vitreous Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Retina-Vitreous Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquetta Stephen
• Danielle Stephenson
• Sterling Anesthesia PLLC
• Cheryl B Steve
• Suzan Steve, RN
• Steven J Vimr Enterprises PLLC
• Greg Scott Stevens
• Joyce Stevens, M.D.
• Katira Stevens
• Akeia Letitia Stevenson

• Ophthalmology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.