Timothy D. Boots, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008982 Issued in IL

Practice address

1783 S Washington St
Suite 111
Naperville, IL 60565-2462

Phone

(630) 961-5255

Fax

(630) 961-0335

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

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

Illinois College of Optometry at Chicago, 1993

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 and National Provider Directory roles.

• Naperville Vision Center, LTD

  • Optometrist
  • Naperville, IL
  • NPI 1841422938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1154494169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 DAFFODIL DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465127",
            "telephone_number": "815-609-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 S WASHINGTON ST",
            "address_2": "SUITE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652462",
            "telephone_number": "630-961-5255",
            "fax_number": "630-961-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTS",
        "first_name": "TIMOTHY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008982",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002624B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "IL8982",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "09932239",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER NUMBER",
            "identifier": "25285",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER ID NUMBER",
            "identifier": "9355873",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP PROVIDER NUMBER",
            "identifier": "36-4167298",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vidya Bommi, LCSW
• Michael Edward Bond, D.D.S.
• Dana Bonnecarre
• Eden Bonsonto, MSW,LCSW
• Emily Anne Boothe, MA, LCPC
• Lisa Marie Borgealt, D.C., APN
• Pamela Ann Borgeson, M.A.
• David A. Bork, D.D.S.
• Joyce Marilyn Borozan, PHARMD
• Hannah Bors, PHARMD

• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.