Fiona S Boak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1423 DT Issued in KY

Practice address

3706 Diann Marie Rd
Louisville, KY 40241-3818

Phone

(502) 326-3114

Fax

(502) 326-9751

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ky Doctors of Optometry, PLLC

  • Optometrist
  • Louisville, KY
  • NPI 1700890001
  Medicare reassignment Care Compare group
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1598849747

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1013045491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 DIANN MARIE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413818",
            "telephone_number": "502-326-3114",
            "fax_number": "502-326-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 DIANN MARIE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413818",
            "telephone_number": "502-326-3114",
            "fax_number": "502-326-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAK",
        "first_name": "FIONA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1423 DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001444",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blystone Dental PLLC
• Jenna Marcum Blyth, SLP
• Johanna Ariel Blythe Reske, MD
• Diane Blythe, PTA
• BN Specialty, LLC
• Maxwell Boakye, M.D.
• Board of Education of Jefferson County Kentucky
• Robert Ray Boardman IV, D.C.
• Thomas Scott Boatright, DMD
• George William Boatwright, MD

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.