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

Joshua P Boucher, OD

Individual provider Optometrist · NPI 1134209901

Joshua P Boucher, OD is an Optometry in Kansas City, Missouri. Graduated from Pennsylvania College of Optometry in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
21
Trained at
Pennsylvania College of Optometry
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
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

4027 Mill St
Kansas City, MO 64111-3008
Phone: (816) 561-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1735 (KS)
Optometrist Taxonomy 152W00000X · Licence 2005027604 (MO)

Record details

NPI number1134209901
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

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