Active NPI
Cynthia Boger, OD
- Optometrist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11289 Parkside Dr
SPC 1108
Knoxville, TN 37934-1964
Phone (865) 675-2524
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG003472 | PA | MD | Optometrist |
| 3531 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Torrey J. Carlson & Associates | Optometrist | Current | Accepting new patients |
| Friendly Eyes of North Carolina | Optometrist | Past | 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.
-
- Optometrist
- Kingsport, TN
- NPI 1366480964
-
- Optometrist
- Knoxville, TN
- NPI 1467387886
-
- Optometrist
- Knoxville, TN
- NPI 1184996605
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.