William Albert Boothe, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

F9221 Issued in TX

Practice address

3900 W 15TH St
Suite 102
Plano, TX 75075-7751

Phone

(972) 867-3955

NPI assigned

Mar 31, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1710948385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 LINCOLNSHIRE CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875427",
            "telephone_number": "972-867-3955",
            "fax_number": "972-732-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "SUITE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-867-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "WILLIAM",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F9221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098016102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Boone, L.P.C.
• Kelsi A Boone
• Nuntavan Boone, M.D.
• Sushruti Boorla, DO
• Sarah York Boostrom, MD
• Katherine Bordelon
• Laura Kay Bordelon, LPC
• Megan Jean Borden, LVN
• Edwin Lawrence Boren Jr., MD
• Reagan Borgman, LCSW

• Ophthalmology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.