Individual provider Active NPI

David Wesley Boone, DO

  • Ophthalmology Physician
  • Macon, GA
National Provider Identifier
1093798753
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
73540 Issued in GA
Practice address
856 1St St
Macon, GA 31201-6875
Phone
(478) 741-1740
Fax
(478) 745-2887
NPI assigned
Nov 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 3936 OK
Ophthalmology Physician 207W00000X 043122 CT
Ophthalmology Physician 207W00000X 02003130A IN
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 73540 GA
Ophthalmology Physician 207W00000X 73540 GA Primary

Addresses

Primary practice location

856 1St St
Macon, GA 31201-6875

Mailing address

8043 Rivoli Rd Unit 428
Bolingbroke, GA 31004-3019
Phone (478) 744-1710

Other identifiers 2

IdentifierTypeStateIssuer
000000495130OtherANTHEM
200838980MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714002359 GA Practitioner - Ophthalmology 8527097286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Kansas City University of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Eye GroupGroup PAC ID 0345581229, 7 clinicians

Practice addresses (Care Compare)

4050 Riverside Dr
Macon, GA 31210-1805
Phone (478) 744-1710

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as individual
Quality
95
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3936OKMDChiropractor
043122CTMDOphthalmology Physician
02003130AINMDOphthalmology Physician
73540GAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Eye Surgery Center CurrentSince Jan 31, 2019 Accepting new patients
Vision Eye Group Ophthalmology CurrentSince Jan 31, 2019 Accepting new patients

Locations

8043 Rivoli Rd
Unit 428
Bolingbroke, GA 31004

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

Interoperability endpoints

  • Direct secure messaging: dboone@visioneyegroup.emadirect.md
  • Direct secure messaging: david.boone@2508784.chartlogic.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1093798753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 RIVOLI RD UNIT 428",
            "city": "BOLINGBROKE",
            "state": "GA",
            "postal_code": "310043019",
            "telephone_number": "478-744-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016875",
            "telephone_number": "478-741-1740",
            "fax_number": "478-745-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-26",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "3936",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "043122",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "02003130A",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "GA",
            "license": "73540",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "73540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000495130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200838980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.