Active NPI
Lindsey Kazanovicz Boyle, BCO
- Ocularist
- Bedford, NH
National Provider Identifier
1275068934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- 16-375-22
- Practice address
- 169 S River Rd
14A
Bedford, NH 03110-6971 - Phone
- (603) 622-5200
- Fax
- (603) 644-2354
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | 16-375-22 | IA | Primary |
Addresses
Primary practice location
169 S River Rd
14A
Bedford, NH 03110-6971
Mailing address
169 S River Rd
14A
Bedford, NH 03110-6971
Phone (603) 622-5200
Other practice location 1
54 Main St
Sturbridge, MA 01566-1281
Phone (508) 347-3818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16-375-22 | Other | NH | NATIONAL EXAMINING BOARD OF OCULARIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-375-22 | IA | MD | Ocularist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monoplex Eye Prosthetics, Inc | Ocularist | Current | Accepting new patients |
| Monoplex Eye Prosthetics | Current | Accepting new patients |
Locations
54 Main St
Sturbridge, MA 01566
Phone (508) 347-3818
169 S River Rd
Unit 14A
Bedford, NH 03110
Phone (603) 622-5200
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 and National Provider Directory roles.
-
- Ocularist
- Bedford, NH
- NPI 1598521163
-
- Prosthetic/Orthotic Supplier
- Sturbridge, MA
- NPI 1609046580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1275068934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 S RIVER RD",
"address_2": "14A",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106971",
"telephone_number": "603-622-5200",
"fax_number": "603-644-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 S RIVER RD",
"address_2": "14A",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106971",
"telephone_number": "603-622-5200",
"fax_number": "603-644-2354"
}
],
"practiceLocations": [
{
"address_1": "54 Main St",
"address_purpose": "LOCATION",
"city": "Sturbridge",
"state": "MA",
"postal_code": "015661281",
"country_code": "US",
"telephone_number": "508-347-3818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZANOVICZ BOYLE",
"first_name": "LINDSEY",
"credential": "BCO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2023-12-11",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "IA",
"license": "16-375-22",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL EXAMINING BOARD OF OCULARIST",
"identifier": "16-375-22",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.