Provider Demographics
NPI:1184674111
Name:BOSHINSKI, DEBRA LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:LYNN
Last Name:BOSHINSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 OLD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBERRY
Mailing Address - State:PA
Mailing Address - Zip Code:17339-9563
Mailing Address - Country:US
Mailing Address - Phone:717-938-9366
Mailing Address - Fax:
Practice Address - Street 1:5275 E TRINDLE RD STE 100
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3502
Practice Address - Country:US
Practice Address - Phone:717-697-7288
Practice Address - Fax:717-697-6010
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000863152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT48207Medicare UPIN
PA644290R66Medicare ID - Type Unspecified