David Wesley Boone in Bolingbroke - Ophthalmology
David Wesley Boone - NPI 1093798753
David Wesley Boone is a Ophthalmology in Bolingbroke, Georgia. David Wesley Boone practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for David Wesley Boone is 1093798753. The last update date is 2019-01-28.
David Wesley Boone's current location address is 8043 Rivoli Rd Unit 428, Bolingbroke, Georgia. You can contact this provider via phone number 4787441710. The mailing address for David Wesley Boone is 8043 Rivoli Rd Unit 428, Bolingbroke, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wesley Boone |
|---|---|
| Address | 8043 Rivoli Rd Unit 428, Bolingbroke, Georgia |
| Phone Number | 4787441710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1093798753 |
|---|---|
| Provider Enumeration Date | 2005-11-26 |
| Last Updated Date | 2019-01-28 |
Provider Mailing Address Detail
| Address | 8043 Rivoli Rd Unit 428 |
|---|---|
| City | Bolingbroke |
| State | Georgia (GA) |
| Post Code | 310043019 |
| Phone Number | 4787441710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 3936 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 495130 | ANTHEM | ||
| 200838980 | IN | -- |
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What is the unique identification code assigned to David Wesley Boone by the Centers for Medicare & Medicaid Services?
The David Wesley Boone has been issued the NPI (National Provider Identifier) 1093798753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David Wesley Boone?
The David Wesley Boone is situated at 8043 Rivoli Rd Unit 428, in the city of Bolingbroke, state of GA, with the zip code 310043019.
What is the David Wesley Boone's specialty and taxonomy code?
The David Wesley Boone's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the David Wesley Boone receive the assignment of its 1093798753 from the Centers for Medicare & Medicaid Services?
The David Wesley Boone was issued its 1093798753 by the Centers for Medicare & Medicaid Services on 2005-11-26.
As of what date were the details related to David Wesley Boone most recently updated or revised?
The information pertaining to David Wesley Boone, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-28.
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