Jeff Birdsong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2004017361 Issued in MO

Practice address

505 E Walnut St
Boonville, MO 65233-1665

Phone

(660) 882-2444

Fax

(660) 882-7976

NPI assigned

Aug 22, 2005

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Illinois College of Optometry at Chicago, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Eyecare of Boonville, LLC

  • Optometrist
  • Boonville, MO
  • NPI 1669664280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1790777191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E WALNUT ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331665",
            "telephone_number": "660-882-2444",
            "fax_number": "660-882-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E WALNUT ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331665",
            "telephone_number": "660-882-2444",
            "fax_number": "660-882-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "JEFF",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004017361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Manor Health & Rehabilitation LLC
• Ashley Manor, Inc. (Ashley Manor Care Center)
• Elizabeth Anne Atkinson, LPC
• Axis Chiropractic LLC
• Patrick C Beglau, LPC
• Brad Lee Boerio, R.PH.
• Shauna Lea Bohlken, APRN-CNP
• Boone Physician Services LLC (Boone Health Primary Care - Boonville)
• Boonville Chiropractic LLC
• Boonville No 1 Inc (Lakeview Health Care & Rehabilitation Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.