Organization Active NPI

Bosley Eye Care, Inc.

  • Optometrist
  • Moorefield, WV
National Provider Identifier
1932271459
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1023-WV Issued in WV
Legal business name
BOSLEY EYE CARE, INC.
Practice address
8 Lee St
Suite 134
Moorefield, WV 26836-1091
Phone
(304) 538-5930
Fax
(304) 538-5931
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
William Gerald Bosley III, O.D.NPI 1770516320
Title
Owner, Optometrist
Phone
(304) 538-5930

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1023-WV WV Primary

Addresses

Primary practice location

8 Lee St
Suite 134
Moorefield, WV 26836-1091

Mailing address

8 Lee St
Suite 134
Moorefield, WV 26836-1091
Phone (304) 538-5930

Other identifiers 1

IdentifierTypeStateIssuer
3810003979MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006001041 WV Part B Supplier - Clinic/Group Practice 6002831245 Receives reassigned benefits from 2 practitioners
Practice locations: Moorefield, WV

National Provider Directory

National Provider Directory

Locations

8 Lee St
Ste 134
Moorefield, WV 26836
Phone (304) 538-5930

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1932271459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LEE ST",
            "address_2": "SUITE 134",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361091",
            "telephone_number": "304-538-5930",
            "fax_number": "304-538-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LEE ST",
            "address_2": "SUITE 134",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361091",
            "telephone_number": "304-538-5930",
            "fax_number": "304-538-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSLEY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "304-538-5930",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1023-WV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003979",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.