Emmalena Ann Boyd, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34981 Issued in CA

Practice address

225 S Main St
Lakeport, CA 95453-5018

Phone

(707) 263-0101

NPI assigned

Sep 22, 2021

Last updated

Mar 27, 2023By the provider in NPPES

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 names 1

• Emmalena Ann Illia Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

University of California - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Emmalena a Boyd OD Optometric Corporation

  • Optometrist
  • Lakeport, CA
  • NPI 1609577857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1033880851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 ADOBE CREEK RD",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954518008",
            "telephone_number": "707-350-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535018",
            "telephone_number": "707-263-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18990 Coyote Valley Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Hidden Valley Lake",
            "state": "CA",
            "postal_code": "954678339",
            "country_code": "US",
            "telephone_number": "707-987-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "EMMALENA",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMALENA",
            "last_name": "ILLIA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elvina Angelica Bill
• Donovan C Bland, MD
• Martyna Joanna Blissky
• Ellen Marie Boersma, NP
• Ronald J Botelho, M.D.
• Kathleen Louise Bradley, P. T.
• Stephen Peter Bradley, MD
• David L. Browning, O.D.
• Mark Louis Buehnerkemper, O.D.
• Carleene Janice Cady, NP

• Optometrist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.