Individual provider Active NPI

Danielle Elise Christina Boyd, OD

  • Optometrist
  • Oakdale, CA
National Provider Identifier
1255856969
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33809 Issued in CA
Practice address
190 S Maag Ave Ste G
Oakdale, CA 95361-9622
Phone
(209) 847-1121
NPI assigned
Aug 3, 2017
Last updated
Aug 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33809 CA Primary

Addresses

Primary practice location

190 S Maag Ave Ste G
Oakdale, CA 95361-9622

Mailing address

221 Kern Creek Way
Oakdale, CA 95361-9653
Phone (209) 988-0030

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170830003520 CA Practitioner - Optometry 7113290883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View OptometryGroup PAC ID 7911268297, 2 clinicians

Practice addresses (Care Compare)

190 S Maag Ave
Suite G
Oakdale, CA 95361-7943
Phone (209) 847-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33809CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Optometry Optometrist CurrentSince Feb 1, 2018 Accepting new patients

Locations

190 S Maag Ave
Ste G
Oakdale, CA 95361
Phone (209) 847-1121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1255856969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 KERN CREEK WAY",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619653",
            "telephone_number": "209-988-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S MAAG AVE STE G",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619622",
            "telephone_number": "209-847-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "DANIELLE",
        "middle_name": "ELISE CHRISTINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.