Individual provider Active NPI

George Theodore Boozalis, M.D.

  • Ophthalmology Physician
  • Victoria, TX
National Provider Identifier
1972572840
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H4178 Issued in TX
Practice address
107 James Coleman Dr
Victoria, TX 77904-3100
Phone
(361) 578-0234
Fax
(361) 578-3812
NPI assigned
Mar 14, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H4178 TX Primary
Cornea and External Diseases Specialist Physician 207WX0120X H4178 TX

Addresses

Primary practice location

107 James Coleman Dr
Victoria, TX 77904-3100

Mailing address

107 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 578-0234

Other identifiers 1

IdentifierTypeStateIssuer
105663201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.36 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Surgery Center Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Victoria Vision Center LLC Past Accepting new patients

Locations

105 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234

Interoperability endpoints

  • Direct secure messaging: george.boozalis@direct.victoriaeyecenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1972572840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-578-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-578-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZALIS",
        "first_name": "GEORGE",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H4178",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "H4178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105663201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.