Gregory Randolph Boschert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02220 Issued in MO

Practice address

101 S. Central Ave. Pobox 537
Eureka, MO 63025-2002

Phone

(636) 938-9092

Fax

(636) 938-3105

NPI assigned

Nov 21, 2005

Last updated

Jul 13, 2026By 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)

Enrolled

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 Associates Partners LLC

  • Optometrist
  • Eureka, MO
  • NPI 1558004515
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558344937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CENTRAL AVE BOX 537",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252002",
            "telephone_number": "636-938-9092",
            "fax_number": "636-938-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S. CENTRAL AVE. POBOX 537",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252002",
            "telephone_number": "636-938-9092",
            "fax_number": "636-938-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCHERT",
        "first_name": "GREGORY",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Bartusch, PA
• Baxter Smiles LLC
• Jordan Daniel Benton, DC
• Leonard Black
• Shannon Moureen Booth, MS., CCC-SLP
• Denis Bosnjak, DPT
• Brennan's Home L.L.C. (Brennan's Home)
• Bright Beginnings ABA
• Busy Feet
• Corry Desart Cande, MED., CCLS, NBC-HWC

• Optometrist in Eureka, MO
• Providers in Eureka, MO by specialty
• Optometrist in Missouri

• 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.

Verify at the official NPI Registry.