Individual provider Active NPI

Katherine Renee Boas, OD

  • Optometrist
  • Exton, PA
National Provider Identifier
1497301295
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003592 Issued in PA
Practice address
577 W Uwchlan Ave
Exton, PA 19341-1563
Phone
(610) 363-2303
Fax
(610) 363-8560
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003592 PA Primary

Addresses

Primary practice location

577 W Uwchlan Ave
Exton, PA 19341-1563

Mailing address

577 W Uwchlan Ave
Exton, PA 19341-1563
Phone (610) 363-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20190918002724 PA Practitioner - Optometry 0547590523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boas Vision Associates LLCGroup PAC ID 1254675267, 4 clinicians

Practice addresses (Care Compare)

577 W Uwchlan Ave
Boas Vision Associates LLC
Exton, PA 19341-1563
Phone (610) 363-2303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boas Vision Associates LLC Optometrist CurrentSince Jul 29, 2019 Accepting new patients

Locations

577 W Uwchlan Ave
Exton, PA 19341
Phone (610) 363-2303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1497301295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 W UWCHLAN AVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411563",
            "telephone_number": "610-363-2303",
            "fax_number": "610-363-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 W UWCHLAN AVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411563",
            "telephone_number": "610-363-2303",
            "fax_number": "610-363-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAS",
        "first_name": "KATHERINE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.