Joshua P Boucher, OD | |
4027 Mill St, Kansas City, MO 64111-3008 | |
(816) 561-1665 | |
Not Available |
Full Name | Joshua P Boucher |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 19 Years |
Location | 4027 Mill St, Kansas City, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134209901 | NPI | - | NPPES |
152W00000X | Other | MO | OPTOMETRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2005027604 (Missouri) | Secondary |
152W00000X | Optometrist | 1735 (Kansas) | Primary |
Provider Name | Professional Eye Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588680193 PECOS PAC ID: 4183529696 Enrollment ID: O20040524000163 |
Provider Name | Boucher Eye Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932839289 PECOS PAC ID: 6406237866 Enrollment ID: O20240613001397 |
Mailing Address | Practice Location Address |
---|---|
Joshua P Boucher, OD 1605 Nw Sunridge Dr, Blue Springs, MO 64015-3536 Ph: (816) 721-8169 | Joshua P Boucher, OD 4027 Mill St, Kansas City, MO 64111-3008 Ph: (816) 561-1665 |
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