Individual provider Active NPI

Suzanne O. Boas, OD

  • Optometrist
  • Exton, PA
National Provider Identifier
1336201722
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE006675P Issued in PA
Practice address
577 W Uwchlan Ave
Exton, PA 19341-1563
Phone
(610) 363-2303
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE006675P PA Primary

Addresses

Primary practice location

577 W Uwchlan Ave
Exton, PA 19341-1563

Mailing address

577 W Uwchlan Ave
Exton, PA 19341-1563
Phone (610) 363-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040428001113 PA Practitioner - Optometry 4082601372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boas Vision Associates LLCGroup PAC ID 1254675267, 4 clinicians

Practice addresses (Care Compare)

577 W Uwchlan Ave
Boas Vision Associates LLC
Exton, PA 19341-1563
Phone (610) 363-2303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1336201722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 W UWCHLAN AVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411563",
            "telephone_number": "610-363-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 W UWCHLAN AVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411563",
            "telephone_number": "610-363-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAS",
        "first_name": "SUZANNE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006675P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.