Reuben Bryan Boozer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S541TA016 Issued in AL

Practice address

1639 Field of Miracles Dr
Cullman, AL 35055-7601

Phone

(256) 739-4000

Fax

(256) 734-1390

NPI assigned

Aug 17, 2005

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boozer Eyecare Associates, P.C.Group PAC ID 2163505793, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boozer Eye Care Assoc PC

  • Optometrist
  • Cullman, AL
  • NPI 1366634941
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669464582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 FIELD OF MIRACLES DR",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557601",
            "telephone_number": "256-739-4000",
            "fax_number": "256-734-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FIELD OF MIRACLES DR",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557601",
            "telephone_number": "256-739-4000",
            "fax_number": "256-734-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZER",
        "first_name": "REUBEN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S541TA016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911832",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS AL",
            "identifier": "515-44928",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Blakely
• Traci Blalock
• Casey McCary Bloom, D.M.D.
• Thomas Blubaugh, CRNP
• Boozer Eye Care Assoc PC
• Spencer Boozer
• Borden Company LLC (Borden Family Pharmacy)
• Borden Company LLC (Borden Family Pharmacy LTC)
• Christopher N. Borden, PHARMD
• Jason Borden

• Optometrist in Cullman, AL
• Providers in Cullman, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.