Robert J Boeglin Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01033733A Issued in IN

Practice address

4633 Crystal Lake LN
Indianapolis, IN 46240-6417

Phone

(317) 654-5128

Fax

(317) 848-9990

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By 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 IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Indiana Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Fishers, IN
  • NPI 1861657256
  NPD (past) Authorized official
• Midwest Glaucoma Associates

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1194758672
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740483080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 CRYSTAL LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406417",
            "telephone_number": "317-654-5128",
            "fax_number": "317-848-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 CRYSTAL LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406417",
            "telephone_number": "317-654-5128",
            "fax_number": "317-848-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEGLIN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01033733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Balance Indy, LLC
• Body Mechanics Health and Wellness
• Body One Health and Fitness Center, LLC
• John Matthew Boe, M.D.
• August Hill Boeglin, M.D.
• Katherine Leigh Boehm, DDS
• Lynda Carole Boehme, LCSW
• Blair Edward Boehmer, M.D.
• Leslie A Boehrer, RN
• Katherine Lucy Boeldt, OTR

• Ophthalmology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.