Active NPI
Thomas Lee Boone, O.D.
- Optometrist
- New Albany, IN
National Provider Identifier
1346437142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002742A
- Practice address
- 2910 Grant Line Road
New Albany, IN 47150-2456 - Phone
- (812) 944-1472
- Fax
- (812) 944-1561
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002742A | IN | Primary |
Addresses
Primary practice location
2910 Grant Line Road
New Albany, IN 47150-2456
Mailing address
1007 S Roberson Rd
English, IN 47118-6733
Phone (812) 734-4604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002742A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearmax, PLLC | Past | Accepting new patients | |
| Midwest Mobile Care Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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- Louisville, KY
- NPI 1932248333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1346437142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 S ROBERSON RD",
"city": "ENGLISH",
"state": "IN",
"postal_code": "471186733",
"telephone_number": "812-734-4604",
"fax_number": "812-944-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 GRANT LINE ROAD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502456",
"telephone_number": "812-944-1472",
"fax_number": "812-944-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "THOMAS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002742A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.