LAUREN BOZSA (OD) – Optometrist, NPI 1104504034

LAUREN BOZSA (OD) is a healthcare provider. based in Alton, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2023023897 (MO). The NPI Number for LAUREN BOZSA (OD) is 1104504034

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN BOZSA (OD)
NPI
1104504034
Phone
(618) 462-9818
Address
111 E 4TH ST STE 440
Enumeration Date
10 July 2023
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
9133906700
Graduation Year
2023 (3 years ago)
PAC ID
9335593722
Group Practice PAC ID
3971930728
Professional Enrollment ID
I20231004001445
Address ID
KS660619434OL11114RDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for LAUREN BOZSA (OD)

  • 111 E 4TH ST STE 440

    ALTON, IL 620026206

    Phone: (618) 462-9818

    Type: Mailing

  • 25 DUNLAP COVE DR

    EDWARDSVILLE, IL 620252489

    Phone: (618) 791-0513

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $557.

Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Alcon Vision LLC ($167).

Total Amount

$557

General + Research + Ownership

Payments

9

Total payment records

General Amount

$557

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231004001445IOptometryKSTBD
I20240923000626IOptometryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971930728View full group profile
NameSpecialtyState
-NE
O P T O M E T R YKS
O P T O M E T R YMO
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YCO
O P T O M E T R YOH
O P T O M E T R YKS

Reviews

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Frequently asked questions

How is LAUREN BOZSA (OD) identified in CMS data?
CMS-hosted NPPES data lists LAUREN BOZSA (OD) with NPI 1104504034.
Does CMS list LAUREN BOZSA (OD) as active?
Yes — LAUREN BOZSA (OD) is active in the NPI listing used on this page.
What is LAUREN BOZSA (OD) best known for clinically?
Directory data describes LAUREN BOZSA (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect LAUREN BOZSA (OD) on a map?
Expect Alton, Illinois as a primary anchor for LAUREN BOZSA (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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