Active NPI
David Wesley Boone, DO
- Ophthalmology Physician
- Macon, GA
National Provider Identifier
1093798753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 73540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000495130 | Other | ANTHEM | |
| 200838980 | Medicaid | IN |
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
Enrollment records 1
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
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 100
- Quality
- 95
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3936 | OK | MD | Chiropractor |
| 043122 | CT | MD | Ophthalmology Physician |
| 02003130A | IN | MD | Ophthalmology Physician |
| 73540 | GA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Eye Surgery Center | Current | Accepting new patients | |
| Vision Eye Group | Ophthalmology | Current | Accepting new patients |
Locations
8043 Rivoli Rd
Unit 428
Bolingbroke, GA 31004
4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710
Interoperability endpoints
- dboone@visioneyegroup.emadirect.md
- 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.
-
- Ophthalmology Physician
- Macon, GA
- NPI 1013471721
-
- Ophthalmologic Surgery Clinic/Center
- Macon, GA
- NPI 1437714425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.