Individual provider Active NPI

Cynthia Boger, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1669949764
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3531 Issued in TN
Practice address
11289 Parkside Dr SPC 1108
Knoxville, TN 37934
Phone
(865) 675-2524
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003472 PA
Optometrist 152W00000X 3531 TN Primary

Addresses

Primary practice location

11289 Parkside Dr SPC 1108
Knoxville, TN 37934

Mailing address

11289 Parkside Dr SPC 1108
Knoxville, TN 37934-1964
Phone (865) 675-2524

Other practice location 1

7600 Kingston Pike
Knoxville, TN 37919-5600
Phone (865) 694-7527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191025001748 TN Practitioner - Optometry 7315279213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

11289 Parkside Dr
SPC 1108
Knoxville, TN 37934-1964
Phone (865) 675-2524

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003472PAMDOptometrist
3531TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Friendly Eyes of North Carolina Optometrist PastSince Aug 1, 2019 Accepting new patients
The Eye Care Clinic Optometrist Past Accepting new patients

Locations

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

5449 Washington Pike
Knoxville, TN 37918

7600 Kingston Pike
Ste 1480
Knoxville, TN 37919
Phone (865) 217-1010

5415 Washington Pike
Knoxville, TN 37918
Phone (423) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

Organizations & group practices 3

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1669949764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11289 PARKSIDE DR SPC 1108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341964",
            "telephone_number": "865-675-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11289 PARKSIDE DR SPC 1108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-675-2524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195600",
            "country_code": "US",
            "telephone_number": "865-694-7527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGER",
        "first_name": "CYNTHIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003472",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.