Joshua P Boucher (NPI# 1134209901, PAC ID# 0244538338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134209901 |
| PAC ID by PECOS | 0244538338 |
| Professional Enrollment ID | I20160405001899 |
| Full Name | Joshua P Boucher |
| Organization Legal Name | PROFESSIONAL EYE CARE INC |
| Address |
2836 Benton Blvd Kansas City MO 64128-1140 |
| Phone Number | 8169245017 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4183529696 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2836 Benton Blvd, Kansas City, MO 64128-1140 | 8169245017 | PROFESSIONAL EYE CARE INC |
| 5440 Blue Ridge Cutoff, Kansas City, MO 64133-2784 | 8163586857 | PROFESSIONAL EYE CARE INC |
| 3017 Brooking Park Ave, Sedalia, MO 65301-9327 | 6608517118 | PROFESSIONAL EYE CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PROFESSIONAL EYE CARE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc A Franke | Optometry | Professional Eye Care Inc | 10160 Restoration Circle Rd, Mineral Point, MO 63660-8565 |
| Stephen E Mullen | Optometry | Professional Eye Care Inc | 10441 International Plaza Dr, Saint Ann, MO 63074-1805 |
| Street Address |
2836 BENTON BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip | 64128-1140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvin Smith | Podiatry | 2713 E 31st St, Kansas City, MO 64128-1516 | |
| Sobrina Sarah Mohammed | Internal Medicine | University Health Physicians | 3130 Mersington Ave, Uh Community Care Linwood, Kansas City, MO 64128-1755 |
| City | KANSAS CITY |
| Zip Code | 64128 |
| Specialty | OPTOMETRY |
| City + Specialty | KANSAS CITY + OPTOMETRY |
Please comment or provide details below to improve the information on Joshua P Boucher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.