Boston Ocular Prosthetics Inc

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

BOSTON OCULAR PROSTHETICS INC

Practice address

15 Lowell St
Portland, ME 04102-2726

Phone

(800) 824-2492

Fax

(877) 824-2413

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Kaylee Lizabeth Dougherty, BCO, CCA

Title

President

Phone

(800) 824-2492

Specialties & licenses 2

Addresses

Tax ID family

Boston Ocular Prosthetics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Boston Ocular Prosthetics Inc

  • Anaplastologist
  • Searsport, ME
  • NPI 1659370526
  NPD tax ID
• Boston Ocular Prosthetics Inc

  • Anaplastologist
  • Reading, MA
  • NPI 1124250899
  NPD tax ID

Locations

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1982106548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "049740245",
            "telephone_number": "800-824-2492",
            "fax_number": "877-824-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LOWELL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022726",
            "telephone_number": "800-824-2492",
            "fax_number": "877-824-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON OCULAR PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "LIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-824-2492",
        "authorized_official_credential": "BCO, CCA"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bosch-Willett
• Caitlin Ann Bosse, PA-C
• Tiffany Bossie, AUD
• Boston Child Study Center - Maine, P.C.
• Boston Food Allergy Center LLC
• Cody Bothel, PA-C
• Joel L Botler, MD
• Meghan E Botler, ACNP
• Timothy Noel Botler, M.D.
• Graham Michael Botto, LCSW

• Anaplastologist in Portland, ME
• Providers in Portland, ME by specialty
• Anaplastologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.