Jennifer Lyn Boggie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

030.0133982 Issued in VT

Practice address

468 Hospital Dr
St Johnsbury, VT 05819-9225

Phone

(802) 748-3536

Fax

(802) 748-4838

NPI assigned

Jan 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, VT, NH3 enrollments

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 3

Specialty

Optometry

Education

New England College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shippee Family Eye Care PCGroup PAC ID 4183772239, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.boggieod.p1@direct.bostoneyegroup.nextgenshare.com

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.

• Shippee Family Eye Care PC

  • Optometrist
  • St Johnsbury, VT
  • NPI 1023407467
  Medicare reassignment NPD
• Eye Associates PC

  • Ophthalmologic Surgery Clinic/Center
  • Burlington, MA
  • NPI 1790789741
  Medicare reassignment NPD
• Mass Optometric Associates, PLLC

  • Optometrist
  • Malden, MA
  • NPI 1063610194
  Medicare reassignment NPD
• Shippee Family Eye Care PC

  • Ophthalmology Physician
  • Littleton, NH
  • NPI 1114526928

  Optometrist

  Medicare reassignment NPD
• Mass Optometric Associates, PLLC

  • Optometrist
  • Attleboro, MA
  • NPI 1972059723
  NPD
• Shippee Family Eye Care PC

  • Optometrist
  • Montpelier, VT
  • NPI 1144676610
  NPD (past)
• Shippee Family Eye Care, P.C.

  • Optometrist
  • Lancaster, NH
  • NPI 1295976884
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1356587976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199225",
            "telephone_number": "802-748-3536",
            "fax_number": "802-748-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199225",
            "telephone_number": "802-748-3536",
            "fax_number": "802-748-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGIE",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5132",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of New Hampshire, Inc.
• Mary Bissonward, LADC, LCMHC
• Debra J Bixby, NP
• Annabelle Black, BCABA
• Jennifer Boccia
• Karen A. Bonhote, APRN
• Darrell Bormann
• David Bourgeois, M.D.
• Jacqueline Brady
• Daniel Brodkowitz

• Optometrist in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.