Individual provider Active NPI

Lindsey Christine Boody, OD

  • Optometrist
  • Newark, NJ
National Provider Identifier
1831875848
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00731700 Issued in NJ
Practice address
295 Ferry St
Newark, NJ 07105-3443
Phone
(973) 589-8008
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OM00199200 NJ
Optometrist 152W00000X TRO009795 NY
Optometrist 152W00000X 27OA00731700 NJ Primary

Addresses

Primary practice location

295 Ferry St
Newark, NJ 07105-3443

Mailing address

295 Ferry St
Newark, NJ 07105-3443
Phone (973) 589-8008

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241007002921 NJ Practitioner - Optometry 8022549609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Short Hills Ophthalmology LLCGroup PAC ID 7719871615, 6 clinicians

Practice addresses (Care Compare)

551 Millburn Ave
Short Hills, NJ 07078-3330
Phone (973) 379-2544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27OA00731700NJMDOptometrist
27OM00199200NJMDOptometrist
TRO009795NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Short Hills Ophthalmology LLC Optometrist CurrentSince Mar 1, 2026 Accepting new patients
Hudson Eyecare Associates PA Optometrist PastSince Aug 18, 2024 Accepting new patients

Locations

777 Passaic Ave
Ste 485
Clifton, NJ 07012
Phone (973) 473-1515

551 Millburn Ave
Short Hills, NJ 07078
Phone (973) 379-2544

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1831875848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053443",
            "telephone_number": "973-589-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053443",
            "telephone_number": "973-589-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOODY",
        "first_name": "LINDSEY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00199200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TRO009795",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00731700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.