Individual provider Active NPI

Michael Boeckman, O.D.

  • Optometrist
  • Lindsay, OK
National Provider Identifier
1962419796
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1041 Issued in OK
Practice address
301 S Main St
Lindsay, OK 73052-5635
Phone
(405) 756-4414
Fax
(405) 756-4415
NPI assigned
Aug 2, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1041 OK Primary

Addresses

Primary practice location

301 S Main St
Lindsay, OK 73052-5635

Mailing address

301 S Main St
Lindsay, OK 73052-5635
Phone (405) 756-4414

Other identifiers 1

IdentifierTypeStateIssuer
100761590AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20110606000649 OK Practitioner - Optometry 7315054293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 S Main St
Lindsay, OK 73052-5635
Phone (405) 756-4414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Vision Center, PLLC Optometrist CurrentSince Jan 20, 2003 Accepting new patients
Britton Vision Associates Inc PastSince Dec 30, 2010 Accepting new patients

Locations

301 S Main St
Lindsay, OK 73052
Phone (405) 286-3937

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1962419796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525635",
            "telephone_number": "405-756-4414",
            "fax_number": "405-756-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525635",
            "telephone_number": "405-756-4414",
            "fax_number": "405-756-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECKMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, OK

Sources for this page

Verify at the official NPI Registry.