NPIMap

Organization Active NPI

Fiona S Boak, OD, PSC

  • Optometrist
  • Louisville, KY
National Provider Identifier
1093985897
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1423DT Issued in KY
Legal business name
FIONA S BOAK, OD, PSC
Practice address
3706 Diann Marie Rd
Louisville, KY 40241-3818
Phone
(502) 326-3114
Fax
(502) 326-9751
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Dr. Fiona S Boak, O.D.NPI 1013045491
Title
Optometrist
Phone
(502) 326-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1423DT KY Primary

Addresses

Primary practice location

3706 Diann Marie Rd
Louisville, KY 40241-3818

Mailing address

3706 Diann Marie Rd
Louisville, KY 40241-3818
Phone (502) 326-3114

Other identifiers 1

IdentifierTypeStateIssuer
77001444MedicaidKY

Other names 1

  • Fiona C Slone, OD PSC Former legal business name

National Provider Directory

National Provider Directory

Locations

3706 Diann Marie Rd
Louisville, KY 40241
Phone (502) 326-0805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1093985897",
    "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": {
        "organization_name": "FIONA S BOAK, OD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "BOAK",
        "authorized_official_first_name": "FIONA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "502-326-3114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1423DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001444",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiona C Slone, OD PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.