Daniel E Boone, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03007 Issued in MO

Practice address

107 Village Center St
Nixa, MO 65714-7824

Phone

(417) 725-0000

Fax

(417) 725-0002

NPI assigned

May 4, 2006

Last updated

Dec 11, 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel E Boone ODGroup PAC ID 2466975651, 2 clinicians

417 Eyes a Series LLCGroup PAC ID 4789900739, 2 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.

• 417 Eyes a Series LLC

  dba Marshfield Family Eye Care

  • Optometrist
  • Marshfield, MO
  • NPI 1386036721
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel E Boone OD

  dba Nixa Family Eye Care

  • Optometrist
  • Nixa, MO
  • NPI 1891730388
  Medicare reassignment Care Compare group Authorized official
• Bpeyes LLC

  • Optometrist
  • Branson West, MO
  • NPI 1932388824
  Medicare reassignment NPD Authorized official
• Currier Family Eyecare OD PC

  • Optometrist
  • Marshfield, MO
  • NPI 1659509131
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1679521603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VILLAGE CENTER ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147824",
            "telephone_number": "417-725-0000",
            "fax_number": "417-725-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 VILLAGE CENTER ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147824",
            "telephone_number": "417-725-0000",
            "fax_number": "417-725-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "T03007",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313422701",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410026504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Blanchard, MS, CCC-SLP
• Aaron Blevins, PHARMD., R.PH.
• Blue Medical LLC
• Steven J Boling, PSYD, LPC
• Daniel Austin Boone, OD
• Boulderwood Estates LLC (boulderwood estates)
• Angela J. Boyer-Krause, MS, LPC
• Suzanne N Bradshaw, MA, LPC
• Renee Lynn Brake
• Richard Brantner

• Optometrist in Nixa, MO
• Providers in Nixa, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.