Individual provider Active NPI

Jamison T Boyd, O.D.

  • Optometrist
  • Tuscola, IL
National Provider Identifier
1326008137
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008823 Issued in IL
Practice address
902 S Court St
Suite #1
Tuscola, IL 61953
Phone
(217) 235-2220
Fax
(217) 253-2292
NPI assigned
Mar 24, 2006
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 046008823 IL Primary

Addresses

Primary practice location

902 S Court St
Suite #1
Tuscola, IL 61953

Mailing address

902 S Court St
Suite #1
Tuscola, IL 61953
Phone (217) 253-2220

Other identifiers 3

IdentifierTypeStateIssuer
05815176OtherILBLUE CROSS & BLUE SHIELD
046008823MedicaidIL
410047783OtherILMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060404000492 IL Practitioner - Optometry 2365450319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boyd Optometric IncGroup PAC ID 2769616069, 2 clinicians

Practice addresses (Care Compare)

108 E Harrison St
Sullivan, IL 61951-2002

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008823ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Optometric Inc CurrentSince Jan 1, 2010 Accepting new patients
Boyd Optometric, Inc. Optometrist CurrentSince Sep 1, 2013 Accepting new patients
Center for Sight Central Il I SC Optometrist PastSince Jul 1, 1994 Accepting new patients
Thomas C. Best, O.D. Optometrist Past Accepting new patients

Locations

108 E Harrison St
Sullivan, IL 61951
Phone (217) 728-4451

902 S Court St
Ste 1
Tuscola, IL 61953
Phone (217) 235-2220

Organizations & group practices 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1326008137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S COURT ST",
            "address_2": "SUITE #1",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "61953",
            "telephone_number": "217-253-2220",
            "fax_number": "217-253-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S COURT ST",
            "address_2": "SUITE #1",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "61953",
            "telephone_number": "217-235-2220",
            "fax_number": "217-253-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JAMISON",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "05815176",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008823",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410047783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscola, IL

Sources for this page

Verify at the official NPI Registry.