Individual provider Active NPI

Michael Irwin Boone, M.D.

  • Ophthalmology Physician
  • Visalia, CA
National Provider Identifier
1467494203
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83015 Issued in CA
Practice address
5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone
(559) 627-9393
Fax
(559) 627-1624
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G83015 CA Primary

Addresses

Primary practice location

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310

Mailing address

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Other identifiers 1

IdentifierTypeStateIssuer
00G830150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000995 CA Practitioner - Ophthalmology 1456248814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical and Medical Associates, Inc.Group PAC ID 3072400431, 6 clinicians

Practice addresses (Care Compare)

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
52.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery496
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare CurrentSince Oct 5, 2010 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Oct 5, 2010 Accepting new patients
Eye Surgical & Medical Associates, Inc. Ophthalmology CurrentSince Jun 1, 2003 Accepting new patients
Noble Surgery Center PastSince Aug 5, 2003 Accepting new patients
Kaweah Delta Health Care District PastSince Jan 1, 2004 Accepting new patients
Sierra Nurse Anesthesia PastSince Nov 3, 2020 Accepting new patients

Locations

660 E Visalia Rd
Farmersville, CA 93223
Phone (559) 594-6788

5021 W Noble Ave
Visalia, CA 93277
Phone (559) 625-2020

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

5021 W Noble Ave
#A
Visalia, CA 93277
Phone (559) 627-9393

5021 W Noble Ave
Ste A
Visalia, CA 93277
Phone (559) 627-9393

202 W Willow Ave
Ste A
Visalia, CA 93291
Phone (209) 627-9393

Organizations & group practices 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1467494203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MICHAEL",
        "middle_name": "IRWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G830150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.