Richard M Bossin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0P1000115 Issued in DC

Practice address

1011 North Capitol Street NE
Washington, DC 20002-4236

Phone

(202) 898-5104

Fax

(202) 898-5474

NPI assigned

Dec 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Michael G. Kwok, O.D. PLLC

  • Optometrist
  • Fredericksburg, VA
  • NPI 1093171225
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417019019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EAST JEFFERSON STREET PPQA MEDICARE COMP. UNIT 6",
            "address_2": "KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-6660",
            "fax_number": "301-816-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 NORTH CAPITOL STREET NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024236",
            "telephone_number": "202-898-5104",
            "fax_number": "202-898-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSIN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "0P1000115",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Boshart, PA-C
• Abigail Bosk, DO
• Ellen Marie Bosley, MBA, MS, RD
• Lauren Bosley
• Jasmine Bossie, LMT
• Katherine Grace Bossler, DPT
• Daniel Cyril Bossomo
• Merida Bostic
• Shenice Bostic, PH.D, LPC, LCPC
• Annette Bostick

• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.