NPIMap

Organization Active NPI

Bouscher Family Eye Care, Inc.

  • Optometrist
  • Wadsworth, OH
National Provider Identifier
1821538588
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4426T1017 Issued in OH
Legal business name
BOUSCHER FAMILY EYE CARE, INC.
Practice address
222 E Smokerise Dr
Wadsworth, OH 44281-8277
Phone
(330) 336-5301
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Karen Bouscher, O.D.NPI 1629083092
Title
President
Phone
(330) 336-5301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4426T1017 OH Primary

Addresses

Primary practice location

222 E Smokerise Dr
Wadsworth, OH 44281-8277

Mailing address

652 Reimer Rd
Wadsworth, OH 44281-8429
Phone (330) 336-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000007 OH Part B Supplier - Clinic/Group Practice 7315916970 Receives reassigned benefits from 2 practitioners
Practice locations: Wadsworth, OH; Ravenna, OH; Canton, OH

National Provider Directory

National Provider Directory

Locations

8160 Macedonia Commons Blvd
Macedonia, OH 44056
Phone (330) 468-0110

2600 State Route 59
Ravenna, OH 44266
Phone (330) 677-2287

222 E Smokerise Dr
Wadsworth, OH 44281
Phone (330) 336-5274

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1821538588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 REIMER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818429",
            "telephone_number": "330-336-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818277",
            "telephone_number": "330-336-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUSCHER FAMILY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BOUSCHER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-336-5301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4426T1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.