Vance Wayne Booker Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1817TG Issued in TX

Practice address

239 W Jefferson Blvd
Dallas, TX 75208-4510

Phone

(214) 943-7604

Fax

(214) 943-6780

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amy E. Bishop OD PA

  • Optometrist
  • Dallas, TX
  • NPI 1922535814
  NPD (past)
• Healthcare Eye Clinic Inc.

  • Eyewear Supplier
  • Dallas, TX
  • NPI 1558306308
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528026994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CEDAR ELM CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638464",
            "telephone_number": "972-401-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W JEFFERSON BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084510",
            "telephone_number": "214-943-7604",
            "fax_number": "214-943-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "VANCE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1817TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Codie Bontz, DDS, MS
• Andrea Bonzell
• Ismail Boodhwani Jr., FNP-C
• Lueretha Yvonne Booker, MA
• Shelley Booker, D.C.
• Carol Boone, RN
• Courtney Boone, PA-C
• David W Boone, MD
• Jacquelin Boone, LCSW
• James B. Boone III, M.D.

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.