Individual provider Active NPI

Carol F. Boerner, M.D.

  • Ophthalmology Physician
  • Claremont, NH
National Provider Identifier
1841231735
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11262 Issued in NH
Practice address
130 Pleasant St
Claremont, NH 03743-3628
Phone
(603) 542-2002
NPI assigned
Jun 9, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11262 NH Primary

Addresses

Primary practice location

130 Pleasant St
Claremont, NH 03743-3628

Mailing address

441 River Street, PO Box 830
Springfield, VT 05156
Phone (802) 886-3937

Other identifiers 1

IdentifierTypeStateIssuer
NX0745OtherNHPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11262NHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Lane MD PC Ophthalmology Past Accepting new patients
Richard a. Lane MD PC Ophthalmology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1841231735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 RIVER STREET, PO BOX 830",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "05156",
            "telephone_number": "802-886-3937",
            "fax_number": "802-886-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PLEASANT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037433628",
            "telephone_number": "603-542-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERNER",
        "first_name": "CAROL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "11262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "NX0745",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

Verify at the official NPI Registry.