William David Boothe MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

F3769 Issued in TX

Legal business name

WILLIAM DAVID BOOTHE MD PA

Practice address

4020 21St St Ste 3
Lubbock, TX 79410-1126

Phone

(806) 797-6697

Fax

(806) 797-6849

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Luann Boothe

Title

Administrator

Phone

(806) 797-6697

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William David Boothe, M.D.

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1205832425
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1265810261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 21ST ST STE 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101126",
            "telephone_number": "806-797-6697",
            "fax_number": "806-797-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 21ST ST STE 3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101126",
            "telephone_number": "806-797-6697",
            "fax_number": "806-797-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DAVID BOOTHE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-797-6697"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122946003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Wilkins, LPC
• Marcella Wilkins, FNP
• Velma Lewis Wilks, R.PH.
• William a Nash D.D.S
• William a Shaver, MD PA
• William Jeong, DDS, P.a.
• William O. Kearse MD
• Alexis Ervin Williams, OT
• Angela Williams
• Avery Claire Williams, 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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.