Active NPI
Jillian L Boyd, OD
- Optometrist
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005123
- Practice address
- 375 Barclay Cir
Rochester Hills, MI 48307 - Phone
- (248) 852-3636
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005123 | MI | Primary |
Addresses
Primary practice location
375 Barclay Cir
Rochester Hills, MI 48307
Mailing address
375 Barclay Cir
Rochester Hills, MI 48307-4511
Phone (248) 852-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181019002047 | MI | Practitioner - Optometry | 6204189376 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Eye Center PC
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 416-1544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005123 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Optical Clinic, Inc. | Optometrist | Current | Accepting new patients |
| Riverside Eye Center PC | Optometrist | Current | Accepting new patients |
| Millman-Derr Center for Eye Care, P.C. | Current | Accepting new patients | |
| Millman-Derr Center for Eye Care, P.C. | Current | Accepting new patients |
Locations
4050 River Rd
Ste 1
East China, MI 48054
Phone (810) 329-9045
4656 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-3600
32925 Groesbeck Hwy
Fraser, MI 48026
Phone (586) 293-8888
17900 23 Mile Rd
Ste 100
Macomb, MI 48044
Phone (248) 852-3636
211 N State St
Oscoda, MI 48750
Phone (517) 739-2020
375 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 491-8894
Organizations & group practices 4
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
- Rochester Hills, MI
- NPI 1326238395
MI
-
- Ambulatory Surgical Clinic/Center
- Rochester Hills, MI
- NPI 1255342366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1134612450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 BARCLAY CIR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074511",
"telephone_number": "248-852-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 BARCLAY CIR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-852-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "JILLIAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.