Paul Eugene Boucher, R.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4976 Issued in MA

Practice address

120 Westfield St
West Springfield, MA 01089-2508

Phone

(413) 733-2316

Fax

(413) 732-4824

NPI assigned

Jan 23, 2015

Last updated

Jan 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care West, Inc

  • Customized Equipment (DME)
  • W Springfield, MA
  • NPI 1336268135
  Authorized official Same address or phone
• Michael J Gousy, OD LLC

  • Optometrist
  • Westfield, MA
  • NPI 1396886479
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1437549805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892508",
            "telephone_number": "413-733-2316",
            "fax_number": "413-732-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892508",
            "telephone_number": "413-733-2316",
            "fax_number": "413-732-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "PAUL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "R.D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "4976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene H Bonneau, DMD
• Claude D Borowsky, M.D.
• Janika Bouchard
• Kelly Marie Bouchard, D.M.D.
• Michael Charles Bouchard
• Sarah Mary Boucher
• Ashley Boudle
• Ashley Bourque
• David A Bowers, M.D.
• Carol Ann Boyce

• Optician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.