Provider Demographics
NPI:1568412443
Name:BOSHINSKI, WILLIAM EDWIN (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWIN
Last Name:BOSHINSKI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 E TRINDLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3502
Mailing Address - Country:US
Mailing Address - Phone:717-697-7288
Mailing Address - Fax:717-697-6010
Practice Address - Street 1:5275 E TRINDLE RD
Practice Address - Street 2:SUITE 100
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:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001560152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT48208Medicare UPIN
PA020012R66Medicare ID - Type Unspecified