William David Boothe, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

F3769 Issued in TX

Practice address

12210 Quaker Ave
Ste 3
Lubbock, TX 79424-7942

Phone

(806) 792-5900

Fax

(806) 792-6092

NPI assigned

Jun 22, 2005

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 TX

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

Texas Tech University Health Science Center School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Texas Eye PAGroup PAC ID 5294782389, 23 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wboothe@wtxeye.updoxdirect.com
• Direct secure messaging: william.boothe.p30@direct.avp.nextgenshare.com

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.

• West Texas Eye PA

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1184733586
  Medicare reassignment Care Compare group NPD
• Professional Opticians, L.L.C.

  • Eyewear Supplier
  • Lubbock, TX
  • NPI 1780798538
  NPD (past) Authorized official
• West Texas Eye PA

  • Durable Medical Equipment & Medical Supplies
  • Midland, TX
  • NPI 1063212157
  NPD
• William David Boothe MD PA

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1265810261
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1205832425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241197",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 QUAKER AVE",
            "address_2": "STE 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247942",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122946003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Boone, P.A.
• Boonipat Craniofacial and Facial Plastic Surgery
• James Jeffrey Boop, M.D.
• Rachael Booth
• Kandis Wright Boothe, MD, PHD
• William David Boothe Jr., M.D.
• Frances Greg Y Bordon, ACNP
• Anne Renee Borges, LPC
• Boris Porto, M.D., P.a.
• Seth Borne-Smith, MD

• Ophthalmology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.