Individual provider Active NPI

Carolee Rose Boyd, O.D.

  • Optometrist
  • Glens Falls, NY
National Provider Identifier
1376571679
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005547-1 Issued in NY
Practice address
41 S Western Ave
Glens Falls, NY 12801-3313
Phone
(518) 792-2345
Fax
(518) 792-1361
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005547-1 NY Primary

Addresses

Primary practice location

41 S Western Ave
Glens Falls, NY 12801-3313

Mailing address

41 S Western Ave
Glens Falls, NY 12801-3313
Phone (518) 792-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101229000157 NY Practitioner - Optometry 7810954716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kline and Boyd Optometrists PLLCGroup PAC ID 8921065814, 3 clinicians

Practice addresses (Care Compare)

41 S Western Ave
Glens Falls, NY 12801-3313
Phone (518) 792-2345

Merit-based Incentive Payment System (MIPS)

Final score
37 of 100Reported as group
Quality
40
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005547-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kline & Boyd Optometrists PLLC Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

41 S Western Ave
Glens Falls, NY 12801
Phone (518) 792-2345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1376571679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S WESTERN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013313",
            "telephone_number": "518-792-2345",
            "fax_number": "518-792-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S WESTERN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013313",
            "telephone_number": "518-792-2345",
            "fax_number": "518-792-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "CAROLEE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.