Daniel Richard Boespflug, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0-683 Issued in ID

Practice address

3293 N Milwaukee St
Boise, ID 83704-4446

Phone

(208) 322-2020

Fax

(208) 322-1192

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1962441303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044446",
            "telephone_number": "208-322-2020",
            "fax_number": "208-322-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044446",
            "telephone_number": "208-322-2020",
            "fax_number": "208-322-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESPFLUG",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "0-683",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "0-683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA SUPPLIER",
            "identifier": "0198230001",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V6838",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010015186",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn West Boedeker, MS, LPC, NCC
• Jess Seymour Boeder, MS., CCC, SLP
• Kimberly Ann Boenig, PTA
• Mark J Boerner, M.D.
• Brian Max Boesiger, M.D.
• Taylor K Boettiger, MD
• Josie Boggs, LSWA-IC
• Jefferson Bohan, PHARM.D.
• Lynn Bohecker, PH.D. LMFT
• Oreana D Bohenek, LCSW

• Optometrist in Boise, ID
• Providers in Boise, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.