Active NPI
Tracey C Boss, O.D.
- Optometrist
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2027
- Practice address
- 31519 Winterplace Pkwy
Ste 1
Salisbury, MD 21804-1884 - Phone
- (410) 546-2500
- Fax
- (410) 546-5005
- NPI assigned
- Jun 20, 2005
- Last updated
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0006064UVT | NY | |
| Optometrist | 152W00000X | 13-0001320 | DE | |
| Optometrist | 152W00000X | TA2027 | MD | Primary |
| Pediatric Optometrist | 152WP0200X | 0006064UVT | NY |
Addresses
Primary practice location
31519 Winterplace Pkwy
Ste 1
Salisbury, MD 21804-1884
Mailing address
31519 Winterplace Pkwy
Ste 1
Salisbury, MD 21804-1884
Phone (410) 546-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012728100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 S Salisbury Blvd
Salisbury, MD 21801-7127
Phone (410) 749-1191
210 Marlboro Ave
Suite 31
Easton, MD 21601-2767
Phone (410) 822-3937
2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.47 of 100
- Quality
- 100
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-0001320 | DE | MD | Optometrist |
| 0006064UVT | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Chesapeake Eye Center, P.a. | Current | Accepting new patients | |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Past | Accepting new patients |
| Cec Surgical Services, LLC | Past | Accepting new patients | |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
| Susquehanna Eye Care | Optometrist | Past | Accepting new patients |
Locations
885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861
1301 Bridgeville Hwy
Seaford, DE 19973
Phone (302) 629-9197
1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200
2321 Forest Dr
Ste E
Annapolis, MD 21401
Phone (410) 266-3369
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
10231 Old Ocean City Blvd
Ste 102
Berlin, MD 21811
Phone (410) 546-8037
401 Race St
Cambridge, MD 21613
Phone (401) 228-0500
10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931
210 Marlboro Ave
Ste 31
Easton, MD 21601
Phone (410) 822-3937
28522 Marlboro Ave
#A
Easton, MD 21601
Phone (410) 690-8844
130 W Dares Beach Rd
Prnc Frederck, MD 20678
Phone (410) 535-2020
105 Pine Bluff Rd
Ste 3
Salisbury, MD 21801
1414 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 749-1191
559 Ritchie Hwy
Severna Park, MD 21146
Phone (410) 401-8309
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- tboss@cheseye.intellechartdirect.net
Organizations & group practices 13
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.
-
- Ophthalmology Physician
- Salisbury, MD
- NPI 1538209309
-
- Ambulatory Surgical Clinic/Center
- Salisbury, MD
- NPI 1194163576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1801891403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31519 WINTERPLACE PKWY",
"address_2": "STE 1",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041884",
"telephone_number": "410-546-2500",
"fax_number": "410-546-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31519 WINTERPLACE PKWY",
"address_2": "STE 1",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041884",
"telephone_number": "410-546-2500",
"fax_number": "410-546-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS",
"first_name": "TRACEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "0006064UVT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "13-0001320",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2027",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NY",
"license": "0006064UVT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012728100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.