Active NPI
Jonathan Hartley Boultinghouse, O.D.
- Optometrist
- Lufkin, TX
National Provider Identifier
1528058435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2823T
- Practice address
- 2 Medical Center Blvd
Lufkin, TX 75904-3175 - Phone
- (936) 634-8434
- Fax
- (936) 639-2581
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2823T | TX | Primary |
Addresses
Primary practice location
2 Medical Center Blvd
Lufkin, TX 75904-3175
Mailing address
2 Medical Center Blvd
Lufkin, TX 75904-3175
Phone (936) 634-8434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2823T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528058435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043175",
"telephone_number": "936-634-8434",
"fax_number": "936-639-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043175",
"telephone_number": "936-634-8434",
"fax_number": "936-639-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULTINGHOUSE",
"first_name": "JONATHAN",
"middle_name": "HARTLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2823T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.