Active NPI
Lindsey Christine Boody, OD
- Optometrist
- Newark, NJ
National Provider Identifier
1831875848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00731700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00731700 | NJ | MD | Optometrist |
| 27OM00199200 | NJ | MD | Optometrist |
| TRO009795 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Short Hills Ophthalmology LLC | Optometrist | Current | Accepting new patients |
| Hudson Eyecare Associates PA | Optometrist | Past | 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.
-
- Optometrist
- Jersey City, NJ
- NPI 1811162159
-
- Optometrist
- Newark, NJ
- NPI 1881195063
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.