Douglas Joseph Bosner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S291 Issued in OH

Practice address

2098 Tremont Ctr
Columbus, OH 43221-3108

Phone

(614) 486-5205

Fax

(614) 486-0354

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Eyecare Professionals LLCGroup PAC ID 4183778764, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northwest Eyecare Professionals LLC

  • Optometrist
  • Columbus, OH
  • NPI 1831330976
  Medicare reassignment Care Compare group Authorized official
• James C Bieber OD

  • Optometrist
  • Columbus, OH
  • NPI 1841294550
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1346214848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 TREMONT CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213108",
            "telephone_number": "614-486-5205",
            "fax_number": "614-486-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 TREMONT CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213108",
            "telephone_number": "614-486-5205",
            "fax_number": "614-486-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSNER",
        "first_name": "DOUGLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "S291",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2408460",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000356306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ryan Bose, DNP
• Vanessa Bose, PMHNP
• Tiashieka Lamea Boseman, LISW
• Heather Kaye Bosley, CDCA
• Kenyatta R Bosley
• Jonathan Bosold, PHARMD
• Brooke Bossart
• Olivia Grace Bosse, MS, RD, LD
• Gayla Marlene Bossley
• Najla Y Bost, RN

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.