O'Malley Marie Bosanic, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3942 Issued in TN

Practice address

27499 Riverview Center Blvd Ste 429
Bonita Springs, FL 34134-4342

Phone

(866) 604-2931

NPI assigned

Jun 3, 2021

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 FL, MN2 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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Miami

  dba UMiami Medicine - Hepatology

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• University of Miami

  dba UMiami Medicine Multi Specialty Services

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD
• University of Miami

  dba UMiami Medicine - Optometry

  • Optometrist
  • Miami, FL
  • NPI 1972552495
  NPD
• Institutional Eye Care LLC

  • Optometrist
  • Bonita Springs, FL
  • NPI 1063942712
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1477129054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 429",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 429",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344342",
            "telephone_number": "866-604-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSANIC",
        "first_name": "O'MALLEY",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5984",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Springs Retirement Village, Inc. (The Terraces at Bonita Springs)
• Bonita Springs Sports & Physical Therapy Center Inc
• Bonita Wellness Center
• Emerson Jeffrey Boogaard, DMD
• Becky Arlene Boros, DC
• Botina Springs Medical Group
• Brain and Spine Consultants, Inc.
• Brain Function Clinic
• Connie Brazelton
• William Breakstone

• Optometrist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.