Lindsay Vision Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK 1041 Issued in OK

Legal business name

LINDSAY VISION CENTER, PLLC

Practice address

301 S Main St
Lindsay, OK 73052-5635

Phone

(405) 756-4414

Fax

(405) 756-4415

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wayne Boeckman, ODNPI 1962419796

Title

President

Phone

(405) 756-4414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mike Boeckman, O.D., PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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

• Michael Boeckman, O.D.

  • Optometrist
  • Lindsay, OK
  • NPI 1962419796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1225253149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525635",
            "telephone_number": "405-756-4414",
            "fax_number": "405-756-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525635",
            "telephone_number": "405-756-4414",
            "fax_number": "405-756-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "BOECKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-756-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK 1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike Boeckman, O.D., PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lindsay Manor SNF Operations LLC
• Lindsay Medical Plaza LLC
• Lindsay Municipal Hospital
• Lindsay Nursing & Rehabilitation LLC
• Lindsay Public Schools
• Tanner Ray Gordon Madden, LMSW
• Main Clinic PC
• Frances McGinley
• Macie Amber Meadows, LMSW
• Mental Health Services of Southern Oklahom

• Optometrist in Lindsay, OK
• Providers in Lindsay, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.