Active NPI
Boston Perkins, O.D.
- Corneal and Contact Management Optometrist
- Florence, SC
National Provider Identifier
1902357791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 1968
- Practice address
- 1945 W Palmetto St
Suite 111
Florence, SC 29501-3919 - Phone
- (843) 679-1812
- NPI assigned
- Oct 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 1968 | SC | Primary |
Addresses
Primary practice location
1945 W Palmetto St
Suite 111
Florence, SC 29501-3919
Mailing address
1945 W Palmetto St
Suite 111
Florence, SC 29501-3919
Phone (843) 679-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Illinois College of Optometry at Chicago, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4514 Oleander Dr
Wilmington, NC 28403-5012
Phone (910) 392-4414
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2475 | NC | MD | Pediatric Physical Therapist |
| 1968 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Optometric Group, PLLC | Corneal and Contact Management | Current | Accepting new patients |
| America'S Best Contact & Eyeglasses | Past | Accepting new patients |
Locations
4514 Oleander Dr
Wilmington, NC 28403
Phone (910) 392-4414
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 and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Wilmington, NC
- NPI 1043661671
-
- Optician
- Florence, SC
- NPI 1831460070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1902357791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 W PALMETTO ST",
"address_2": "SUITE 111",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013919",
"telephone_number": "843-679-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 W PALMETTO ST",
"address_2": "SUITE 111",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013919",
"telephone_number": "843-679-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "BOSTON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "SC",
"license": "1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.