Individual provider Active NPI

Tabytha Boyak, OD

  • Optometrist
  • Marquette, MI
National Provider Identifier
1699392159
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005443 Issued in MI
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

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721003726 MI Practitioner - Optometry 2466877394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
T.O.S.S. Optometry IncGroup PAC ID 5698720357, 2 clinicians

Practice addresses (Care Compare)

131 W Washington St
Suite B
Marquette, MI 49855-4378
Phone (906) 226-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toss Optometry Inc Optometrist CurrentSince Jun 24, 2020 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.

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

Verify at the official NPI Registry.