Miguel Angel Bosch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

001096 Issued in GA

Practice address

3450 Wrightsboro Rd
Suite 1325
Augusta, GA 30909-0566

Phone

(706) 736-9929

Fax

(706) 736-9967

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1750464178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WRIGHTSBORO RD",
            "address_2": "SUITE 1325",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090566",
            "telephone_number": "706-736-9929",
            "fax_number": "706-736-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WRIGHTSBORO RD",
            "address_2": "SUITE 1325",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090566",
            "telephone_number": "706-736-9929",
            "fax_number": "706-736-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Evelyn Boone, RPTA
• Vaibhav Bora, M.B.B.S.
• Casey Nicole Borba, APRN, ACNPC-AG
• Amber Key Bordon, CRNA
• Julia Borland Cook, PT, DPT
• Sherron Bostic, MSW
• Margaret Pfeiffer Boston, MD
• Caitlan Boswell, NP
• Karen Pruitt Boswell, PH.D.
• Alfredo Botet, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.