DR. CORY J. BOSANKO (NPI# 1730180704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730180704 |
| Entity Type | Individual |
| Full Name | DR. CORY J. BOSANKO |
| Credential | O.D. |
| Practice Address |
15 Iris Ln Crossville TN 38555-7528 |
| Practice Telephone | 9314562728 |
| Practice Fax Number | 9314565446 |
| Mailing Telephone | 9314562728 |
| Mailing Fax Number | 9314565446 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OD2541 | TN | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OD0000002541 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3946606 | 05 | |
| TN | BCBST | 4109506 | 01 |
| TN | 3943261 | 05 |
| Street Address |
15 IRIS LN |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394241 | Larry E. Patterson | Ophthalmology | 15 Iris Ln, Crossville, TN 38555-7528 | 2005-05-31 |
| 1841724176 | Matthew Ryan Page | Optometrist | 15 Iris Ln, Crossville, TN 38555 | 2017-04-13 |
| 1871045880 | Katie Korth | Specialist | 15 Iris Ln, Crossville, TN 38555-7528 | 2016-10-26 |
| 1851654867 | Michael David Patterson | Internal Medicine | 15 Iris Ln, Crossville, TN 38555-7528 | 2012-06-25 |
| 1104940790 | Eye Centers of Tennessee, LLC | Optometrist | 15 Iris Ln, Crossville, TN 38555-7528 | 2007-03-19 |
| 1568431054 | Cataract and Laser Center, LLC | Clinic/Center | 15 Iris Ln, Crossville, TN 38555-7528 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003854001 | Medical Personnel Services LLC | Optometrist | 100 E Vine St, Murfreesboro, TN 37130-3734 | 2006-06-02 |
| 1184622441 | Bruce Devin Gilliland | Optometrist | 715 Callahan Dr, Knoxville, TN 37912-1302 | 2005-07-11 |
| 1346752474 | Politzer Consulting Group LLC | Optometrist | 144 Timberline Dr, Franklin, TN 37069-7170 | 2017-10-30 |
| 1376793455 | Michael R. Politzer, O.d., Co | Optometrist | 5300 Maryland Way, Suite 160, Brentwood, TN 37027-5074 | 2008-09-24 |
| 1972773349 | Low Vision Center, Inc. | Optometrist | 1124 E Weisgarber Rd, Suite 204, Knoxville, TN 37909-2686 | 2008-03-02 |
| City | CROSSVILLE |
| Zip Code | 38555 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.