DR. JENNIFER LYN BOGGIE (O.D.) – Optometrist, NPI 1356587976

DR. JENNIFER LYN BOGGIE (O.D.) is a healthcare provider. based in St johnsbury, Vermont. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5132 (MA). The NPI Number for DR. JENNIFER LYN BOGGIE (O.D.) is 1356587976

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER LYN BOGGIE (O.D.)
NPI
1356587976
Phone
(802) 748-3536
Address
468 HOSPITAL DR
Enumeration Date
2 January 2009
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8022237723
Graduation Year
2008 (18 years ago)
PAC ID
5799008793
Group Practice PAC ID
4183772239
Professional Enrollment ID
I20230505001441
Address ID
VT058199225SA468XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

114 OPTOMETRY in VT

Provider Addresses for DR. JENNIFER LYN BOGGIE (O.D.)

  • 468 HOSPITAL DR

    ST JOHNSBURY, VT 058199225

    Phone: (802) 748-3536

    Fax: (802) 748-4838

    Type: Mailing

  • 600, Wellwood Avenue, Lindenhurst, Suffolk County, New York, 11757, United States

    SUITE C

    LINDENHURST, NY 117572000

    Phone: (631) 957-0033

    Fax: (631) 957-2315

    Type: Location

  • 280, Wilson Avenue, Bushwick, Brooklyn, Kings County, New York, 11221, United States

    APT 2F

    BROOKLYN, NY 112375183

    Phone: (617) 530-0115

    Type: Mailing

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: 2023-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160920002075IOptometryMATBD
I20230505001441IOptometryVTTBD
I20231113001710IOptometryNHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina184181$0
92014Established patient complete exam of visual system135135$0
99213Established patient office or other outpatient visit, 20-29 minutes7362$0
92004New patient complete exam of visual system7272$0
92134Imaging of retina6362$0
View full utilization report →

Insurance plans in this area (ZIP 05819)

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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: 4183772239View full group profile
NameSpecialtyState
-VT
O P H T H A L M O L O G YFL
O P T O M E T R YVT
O P T O M E T R YKS
O P T O M E T R YNH
O P T O M E T R YVT
O P T O M E T R YVT
O P T O M E T R YMA
O P H T H A L M O L O G YVT
O P T O M E T R YVT

Reviews

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Frequently asked questions

How do payers reference DR. JENNIFER LYN BOGGIE (O.D.)?
For DR. JENNIFER LYN BOGGIE (O.D.), use NPI 1356587976 as the unique 10-digit identifier.
Is there an active status for DR. JENNIFER LYN BOGGIE (O.D.)?
For scheduling context, DR. JENNIFER LYN BOGGIE (O.D.) is shown as active in the registry.
What clinical focus is listed for DR. JENNIFER LYN BOGGIE (O.D.)?
At a glance, DR. JENNIFER LYN BOGGIE (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JENNIFER LYN BOGGIE (O.D.)?
Travel planning: use St Johnsbury, Vermont as the reference point for DR. JENNIFER LYN BOGGIE (O.D.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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