Kenneth Martin Boxer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA1183 Issued in GA

Practice address

2370 N Druid Hills Rd NE
Atlanta, GA 30329-3105

Phone

(404) 321-2030

NPI assigned

Mar 17, 2007

Last updated

Oct 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

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

Pennsylvania College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Kenneth M Boxer & Associates PC

  • Optometrist
  • Atlanta, GA
  • NPI 1285065938
  Medicare reassignment NPD Authorized official
• Georgia Eye Associates, P.C.

  • Ophthalmology Physician
  • Lawrenceville, GA
  • NPI 1629165642

  Optometrist

  NPD (past)
• Urology of Greater Atlanta LLC

  • Specialist
  • Stockbridge, GA
  • NPI 1669570990
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1609990506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293105",
            "telephone_number": "404-321-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293105",
            "telephone_number": "404-321-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXER",
        "first_name": "KENNETH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Alexis Bowman, PA-C
• Aleigha Bowser, RN
• M. Luisa C Bowzard, P.A.
• Hilary Box, PHARMD
• Shea Ann Box, PA-C
• Rachel Mindy Boxer, MD
• Kelly Anne Boxler
• Boyan LLC (Family Solutions)
• Jack R Boyan, M.ED. L.M.F.T.
• Heather Boyce-James, LCSW

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.