Individual provider Active NPI

Paula Harmon Boone, OD

  • Optometrist
  • Portsmouth, VA
National Provider Identifier
1174585301
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000487 Issued in VA
Practice address
BLD. 277 Optometry Department
Norfolk Naval Shipyard Branch Health Clinic
Portsmouth, VA 23709-5000
Phone
(757) 953-6490
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000487 VA Primary

Addresses

Primary practice location

BLD. 277 Optometry Department
Norfolk Naval Shipyard Branch Health Clinic
Portsmouth, VA 23709-5000

Mailing address

674 Fernwood Farms Rd
Chesapeake, VA 23320-6765
Phone (757) 547-4137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1174585301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 FERNWOOD FARMS RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206765",
            "telephone_number": "757-547-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLD. 277 OPTOMETRY DEPARTMENT",
            "address_2": "NORFOLK NAVAL SHIPYARD BRANCH HEALTH CLINIC",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237095000",
            "telephone_number": "757-953-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "PAULA",
        "middle_name": "HARMON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.