Carl Allen Boeck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6620T Issued in CA

Practice address

9621 Mission Gorge Rd
106
Santee, CA 92071-3802

Phone

(619) 449-2000

Fax

(619) 449-8303

NPI assigned

Aug 18, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Hoose Optometric CorporationGroup PAC ID 2567416266, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Van Hoose Optometric Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1770248155
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1588656151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 DOHENY RD",
            "address_2": "#50",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712507",
            "telephone_number": "619-449-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 MISSION GORGE RD",
            "address_2": "106",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713802",
            "telephone_number": "619-449-2000",
            "fax_number": "619-449-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECK",
        "first_name": "CARL",
        "middle_name": "ALLEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6620T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0066200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salvador Bibat
• Sarah Acio Bibat
• Orson Louis Billenstein
• Randolph Dale Blattler, R.N., RNFA
• Roella Pagsolingan Bley, LMT
• Boitran Cao Nguyen DDS Inc
• Natasha Lynn Boykin
• BPM Dental Partnership
• Dennis Edward Bradtke, NA
• Charles E. Bragunier, M.P.T.

• Optometrist in Santee, CA
• Providers in Santee, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.