Individual provider Active NPI

Dwight D Boyd, O.D.

  • Optometrist
  • Cumming, GA
National Provider Identifier
1346366135
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1232 Issued in GA
Practice address
546 Lakeland PLZ
Cumming, GA 30040-2782
Phone
(678) 208-2393
Fax
(678) 208-0851
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1232 GA Primary

Addresses

Primary practice location

546 Lakeland PLZ
Cumming, GA 30040-2782

Mailing address

546 Lakeland PLZ
Cumming, GA 30040-2782
Phone (678) 208-2393

Other identifiers 2

IdentifierTypeStateIssuer
205684219OtherGATAXPAYER IDENTIFICATION
003143234CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110107000258 GA Practitioner - Optometry 1951401397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

4480 A Chamblee Dunwoody Rd
Atlanta, GA 30338-6221
Phone (770) 394-2110

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1232GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist CurrentSince Sep 13, 2023 Accepting new patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Sep 13, 2023 Accepting new patients
Thomas Eye Group PC Past Accepting new patients

Locations

546 Lakeland Plz
Cumming, GA 30040
Phone (678) 208-2393

4480 Chamblee Dunwoody Rd
#A
Dunwoody, GA 30338
Phone (770) 392-0154

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1346366135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 LAKELAND PLZ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402782",
            "telephone_number": "678-208-2393",
            "fax_number": "678-208-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 LAKELAND PLZ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402782",
            "telephone_number": "678-208-2393",
            "fax_number": "678-208-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "DWIGHT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER IDENTIFICATION",
            "identifier": "205684219",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003143234C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.