Individual provider Active NPI

Jeffrey R Boyd, M.D.

  • Ophthalmology Physician
  • Newark, DE
National Provider Identifier
1255498366
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C1-0008191 Issued in DE
Practice address
4102 Ogletown Stanton Rd
Harmony Plaza, Suite 1
Newark, DE 19713-4183
Phone
(302) 454-8800
Fax
(302) 454-8801
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD435384 PA
Ophthalmology Physician 207W00000X C1-0008191 DE Primary

Addresses

Primary practice location

4102 Ogletown Stanton Rd
Harmony Plaza, Suite 1
Newark, DE 19713-4183

Mailing address

4102 Ogletown Stanton Rd
Harmony Plaza, Suite 1
Newark, DE 19713-4183
Phone (302) 454-8800

Other identifiers 1

IdentifierTypeStateIssuer
200108664MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20070306000590 DE Practitioner - Ophthalmology 1456454735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Eye Associates of Delaware, LLCGroup PAC ID 2062657174, 5 clinicians

Practice addresses (Care Compare)

4102 Ogletown Stanton Rd
Suite 1
Newark, DE 19713-4183
Phone (302) 454-8800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0008191DEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Ophthalmology CurrentSince Nov 1, 2007 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 1, 2007 Accepting new patients
Surgical Eye Associates of Delaware, LLC Ophthalmology CurrentSince Dec 29, 2012 Accepting new patients
Cataract and Laser Center LLC Current Accepting new patients

Locations

4102 Ogletown Stanton Rd
Ste 1
Newark, DE 19713
Phone (302) 454-8800

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • Direct secure messaging: jboydmd@eyecareofdelaware.direct.eyemdemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1255498366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 OGLETOWN STANTON RD",
            "address_2": "HARMONY PLAZA, SUITE 1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134183",
            "telephone_number": "302-454-8800",
            "fax_number": "302-454-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 OGLETOWN STANTON RD",
            "address_2": "HARMONY PLAZA, SUITE 1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134183",
            "telephone_number": "302-454-8800",
            "fax_number": "302-454-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD435384",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0008191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200108664",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.