Blake A Booth, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21490 Issued in MS

Practice address

1308 Belk Blvd
Oxford, MS 38655-5302

Phone

(662) 234-6551

Fax

(662) 234-0468

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.71 of 100Reported as individual

Quality

94.01

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Williamson Eye Center

  • Ophthalmology Physician
  • Gonzales, LA
  • NPI 1699812909
  Medicare reassignment Care Compare group NPD
• Baton Rouge Eye Physicians

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1346380557
  Medicare reassignment NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • New Roads, LA
  • NPI 1154943918
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Saint Francisville, LA
  • NPI 1487495131
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Denham Springs, LA
  • NPI 1841295813
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Zachary, LA
  • NPI 1972509156
  NPD
• Rayner Optical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1306957709
  NPD (past)
• Jonathan M. Levy, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • New York, NY
  • NPI 1972556132
  NPD (past)
• Williamson Eye Center

  • Ophthalmology Physician
  • Lutcher, LA
  • NPI 1033858501
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1194915249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555302",
            "telephone_number": "662-234-6551",
            "fax_number": "662-234-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555302",
            "telephone_number": "662-234-6551",
            "fax_number": "662-234-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "BLAKE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "21490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000574",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BMH North Mississippi Imaging Services, LLC
• Boa Vida Hospital of Aberdeen, Ms LLC
• Candace Faith Bolden
• Felicia Machel Bolton, MSW
• Terance Booker, B.A.
• James E Booth Jr., HIS
• Anna Catherine Boudreaux, PA
• Simone Franchelle Bourgeois, LMSW
• Teri Boutin, OT
• Victoria Gaskin Bowman

• Ophthalmology Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.