Organization Active NPI

Daniel E Boone OD

Doing business as Nixa Family Eye Care

  • Optometrist
  • Nixa, MO
National Provider Identifier
1891730388
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03007 Issued in MO
Legal business name
DANIEL E BOONE OD
Doing business as
Nixa Family Eye Care
Practice address
107 Village Center St
Nixa, MO 65714-7824
Phone
(417) 725-0000
Fax
(417) 725-0002
NPI assigned
Jun 18, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Dr. Daniel E. Boone, O.D.NPI 1679521603
Title
Owner/Optometrist
Phone
(417) 725-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T03007 MO Primary

Addresses

Primary practice location

107 Village Center St
Nixa, MO 65714-7824

Mailing address

107 Village Center St
Nixa, MO 65714-7824
Phone (417) 725-0000

Other names 1

  • NIXA FAMILY EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250722004181 MO Part B Supplier - Clinic/Group Practice 2466975651 Receives reassigned benefits from 2 practitioners
Practice locations: Nixa, MO
O20260320003442 MO DME Supplier - Physician - Optometrist 2466975651 Practice locations: Nixa, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nixa Family Eye Care107 Village Center St, Nixa, MO 65714-7824(417) 839-6810 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since May 27, 2025

National Provider Directory

National Provider Directory

Locations

107 Village Center St
Nixa, MO 65714
Phone (417) 725-0000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1891730388",
    "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": {
        "organization_name": "DANIEL E BOONE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "417-725-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIXA FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.