DR. CORY J. BOSANKO O.D. NPI 1730180704

NPI Information

  • NPI: 1730180704
  • Provider Name: DR. CORY J. BOSANKO, O.D.
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 39 LANTANA RD
    CROSSVILLE, TN
    ZIP 38555
  • Phone: (931) 484-3344

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NPI Details

DR. Cory J. Bosanko, O.D. is a low vision rehabilitation optometrist in Crossville, TN with 22 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Cory J. Bosanko, O.D. NPI is 1730180704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:2004

The provider's business location address is:

39 LANTANA RD
CROSSVILLE, TN
ZIP 38555-901
Phone: (931) 484-3344
Fax: (931) 456-3671

The NPI 1730180704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Microfluid analysis of tears (HCPCS:83861)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of retina (HCPCS:92134)
  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Imaging of optic nerve (HCPCS:92133)
  • Photography of the retina (HCPCS:92250)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Removal of eyelashes using forceps (HCPCS:67820)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 8/2/2005 and was last updated on 1/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOD2541TENNESSEENo
2152WL0500XOptometristLow Vision RehabilitationOD0000002541TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14109506OTHERTENNESSEEBCBST
23943261MEDICAIDTENNESSEE
33946606MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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