Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Avery B Boardman, OD

Individual provider Optometrist · NPI 1073603718

Dr. Avery B Boardman, OD is an Optometry in Wysox, Pennsylvania. Graduated from Pennsylvania College of Optometry in 1991, 35 years ago. Practices with Grady D. Gafford MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

889 Craftmaster Rd
Wysox, PA 18854-0000
Phone: (570) 265-3668
Fax: (570) 265-8936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG000896 (PA)

Record details

NPI number1073603718
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESMarch 23, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1991 (35 years in practice)
Group practice Grady D. Gafford Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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