DR. THOMAS ALEXANDER BOUSCHER (OD) – Optometrist, NPI 1174051726

DR. THOMAS ALEXANDER BOUSCHER (OD) is a healthcare provider. based in Wadsworth, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 6536 (OH). The NPI Number for DR. THOMAS ALEXANDER BOUSCHER (OD) is 1174051726

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS ALEXANDER BOUSCHER (OD)
NPI
1174051726
Phone
(330) 958-4337
Address
222 E SMOKERISE DR
Enumeration Date
26 May 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3303050337
Graduation Year
2017 (9 years ago)
PAC ID
4880967108
Group Practice PAC ID
7315916970
Professional Enrollment ID
I20170908001491
Address ID
OH447207098CA4572XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. THOMAS ALEXANDER BOUSCHER (OD)

  • 222, East Smokerise Drive, Clark Corners, Wadsworth, Medina County, Ohio, 44281, United States

    WADSWORTH, OH 442818277

    Phone: (330) 958-4337

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-09-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170908001491IOptometryOHTBD

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 44281)

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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: 7315916970View full group profile
NameSpecialtyState
O P T O M E T R YOH

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Frequently asked questions

What is DR. THOMAS ALEXANDER BOUSCHER (OD)'s NPI number?
DR. THOMAS ALEXANDER BOUSCHER (OD)'s NPI is 1174051726 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. THOMAS ALEXANDER BOUSCHER (OD)?
You should see DR. THOMAS ALEXANDER BOUSCHER (OD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. THOMAS ALEXANDER BOUSCHER (OD)?
DR. THOMAS ALEXANDER BOUSCHER (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. THOMAS ALEXANDER BOUSCHER (OD) registered?
Use Wadsworth, Ohio as the headline location for DR. THOMAS ALEXANDER BOUSCHER (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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