Amanda Kay Boscoe

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011272 Issued in IL

Practice address

2525 Green Mount Commons Dr Ste 290
Belleville, IL 62221-6735

Phone

(618) 233-7800

Fax

(618) 233-7290

NPI assigned

Apr 11, 2023

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry Illinois, PCGroup PAC ID 7012292147, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandaboscoe@direct.eyecare-partners.com

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.

• Clarkson Optometry Illinois, P.C.

  dba Clarkson Eyecare

  • Optometrist
  • Ballwin, MO
  • NPI 1548635758

  IL

  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Illinois, P.C.

  dba Clarkson Eyecare

  • Optometrist
  • Centralia, IL
  • NPI 1730373648
  NPD
• Clarkson Optometry Illinois PC

  • Optometrist
  • Shiloh, IL
  • NPI 1457303125
  NPD (past)
• Clarkson Eyecare

  • Optometrist
  • Eureka, MO
  • NPI 1205817731
  NPD (past)
• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Pacific, MO
  • NPI 1215980875
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1750076022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207163",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207163",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GREEN MOUNT COMMONS DR STE 290",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216735",
            "telephone_number": "618-233-7800",
            "fax_number": "618-233-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 S Shields St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805262583",
            "country_code": "US",
            "telephone_number": "970-490-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3405 Nameoki Rd",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620403709",
            "country_code": "US",
            "telephone_number": "618-219-8909",
            "fax_number": "618-219-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairview Heights",
            "state": "IL",
            "postal_code": "622082100",
            "country_code": "US",
            "telephone_number": "618-624-0222",
            "fax_number": "618-624-4930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622344400",
            "country_code": "US",
            "telephone_number": "618-223-5212",
            "fax_number": "618-223-5213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Columbia Ctr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "IL",
            "postal_code": "622362546",
            "country_code": "US",
            "telephone_number": "618-281-8611",
            "fax_number": "618-281-3927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 N Illinois St",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622262302",
            "country_code": "US",
            "telephone_number": "618-767-5100",
            "fax_number": "618-767-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3248 Green Mount Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622697284",
            "country_code": "US",
            "telephone_number": "618-622-9225",
            "fax_number": "618-624-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSCOE",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004168",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonham Emergency Medicine LLC (GEMS Express Care)
• Michael Boose
• Born to Bloom Pediatric Therapy
• Kaitlyn Boschenreither
• Stephen Boschenreither, CPHT
• Carla Evonne Bouc, LCPC
• Kevin Bouse, OT
• Virginia S Bouse, P. T.
• Peyton Bowe, PA-C
• Michael Bower, ATC. LAT.

• Optometrist in Belleville, IL
• Providers in Belleville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.