Active NPI
William Gerald Bosley III, O.D.
- Optometrist
- Moorefield, WV
National Provider Identifier
1770516320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1023
- Practice address
- 8 Lee St
Suite 134
Moorefield, WV 26836-1091 - Phone
- (304) 538-5930
- Fax
- (304) 538-5931
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1023 | WV | Primary |
Addresses
Primary practice location
8 Lee St
Suite 134
Moorefield, WV 26836-1091
Mailing address
8 Lee St
Suite 134
Moorefield, WV 26836-1091
Phone (304) 538-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003727 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051010000726 | WV | Practitioner - Optometry | 6305816844 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bosley Eye Care Inc
Practice addresses (Care Compare)
8 Lee St
Suite 134
Moorefield, WV 26836-1091
Phone (304) 538-5930
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023 | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bosley Eye Care, Inc. | Optometrist | Current | Accepting new patients |
| Bosley Eye Care, Inc. | Current | Accepting new patients | |
| Sites Vision Clinic | Optometrist | Past | Accepting new patients |
| Sites Vision Clinic | Optometrist | Past | Accepting new patients |
| M F Anwar MD Inc | Optometrist | Past | Accepting new patients |
Locations
8 Lee St
Ste 134
Moorefield, WV 26836
Phone (304) 538-5930
Organizations & group practices 5
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
- Moorefield, WV
- NPI 1932271459
-
- Primary Care Clinic/Center
- Moorefield, WV
- NPI 1740469386
-
- Optometrist
- Clarksville, TN
- NPI 1235256512
-
- Optometrist
- Elkton, KY
- NPI 1881711786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770516320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LEE ST",
"address_2": "SUITE 134",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361091",
"telephone_number": "304-538-5930",
"fax_number": "304-538-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 LEE ST",
"address_2": "SUITE 134",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268361091",
"telephone_number": "304-538-5930",
"fax_number": "304-538-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSLEY",
"first_name": "WILLIAM",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "1023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003727",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorefield, WV
Sources for this page
- 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.
- 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.