DR. ANGELA LYNN BOSJOLIE (DO) – Ophthalmology Physician, NPI 1093891608
Ophthalmology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
324 OPHTHALMOLOGY in CT
Provider Addresses for DR. ANGELA LYNN BOSJOLIE (DO)
1201 W MAIN ST STE 100
WATERBURY, CT 067083105
Phone: (203) 597-9100
Type: Location
87 GRANDVIEW AVE STE A
WATERBURY, CT 067082523
Phone: (203) 574-2020
Fax: (410) 847-9240
Type: Mailing
87 GRANDVIEW AVE
WATERBURY, CT 067082514
Phone: (203) 574-2020
Fax: (032) 596-2230
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $671.
Total Amount is formed as General ($671) + Research ($0) + Ownership ($0) = $671.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($185).
Total Amount
$671
General + Research + Ownership
Payments
17
Total payment records
General Amount
$671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040625001012 | I | Ophthalmology | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,414 | 132 | $0 |
| 92134 | Imaging of retina | 1,115 | 478 | $0 |
| 67028 | Injection of drug into eye | 628 | 148 | $0 |
| 92014 | Established patient complete exam of visual system | 476 | 372 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 265 | 146 | $0 |
Insurance plans in this area (ZIP 06708)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
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| O P H T H A L M O L O G Y | CT | |
| - | CT | |
| O P H T H A L M O L O G Y | CT | |
| O P H T H A L M O L O G Y | CT | |
| - | CT | |
| O P T O M E T R Y | CT | |
| O P H T H A L M O L O G Y | CT | |
| O P H T H A L M O L O G Y | CT | |
| - | CT | |
| O P H T H A L M O L O G Y | CT |
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