Active NPI
Tabytha Boyak, OD
- Optometrist
- Marquette, MI
National Provider Identifier
1699392159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005443
- Practice address
- 131 W Washington St
Marquette, MI 49855-4378 - Phone
- (906) 226-2020
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005443 | MI | Primary |
Addresses
Primary practice location
131 W Washington St
Marquette, MI 49855-4378
Mailing address
9 Scenic Hills Dr
Marquette, MI 49855-9186
Phone (906) 458-8528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
131 W Washington St
Suite B
Marquette, MI 49855-4378
Phone (906) 226-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toss Optometry Inc | Optometrist | Current | Accepting new patients |
Locations
131 W Washington St
Ste B
Marquette, MI 49855
Phone (248) 496-0995
131 W Washington St
Marquette, MI 49855
Phone (906) 226-2020
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.
-
- Optometrist
- Marquette, MI
- NPI 1891810248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1699392159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SCENIC HILLS DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559186",
"telephone_number": "906-458-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W WASHINGTON ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554378",
"telephone_number": "906-226-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYAK",
"first_name": "TABYTHA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.