Active NPI
Michael Boeckman, O.D.
- Optometrist
- Lindsay, OK
National Provider Identifier
1962419796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1041
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100761590A | Medicaid | OK |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Vision Center, PLLC | Optometrist | Current | Accepting new patients |
| Britton Vision Associates Inc | Past | 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.
-
- Optometrist
- Lindsay, OK
- NPI 1225253149
-
dba BVA Advanced Eyecare and Retina Vitreous Affiliates
- Ophthalmology Physician
- Edmond, OK
- NPI 1427051408
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.