WILLIAM DAVID BOOTHE MD PA (NPI# 1265810261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265810261 |
| Entity Type | Organization |
| Organization Name | WILLIAM DAVID BOOTHE MD PA |
| Practice Address |
4020 21st St Ste 3 Lubbock TX 79410-1126 |
| Practice Telephone | 8067976697 |
| Practice Fax Number | 8067976849 |
| Mailing Telephone | 8067976697 |
| Mailing Fax Number | 8067976849 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | LUANN BOOTHE (ADMINISTRATOR) |
| Authorized Official Telephone | 8067976697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | F3769 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122946003 | 05 |
| Street Address |
4020 21ST ST STE 3 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616485 | Peter Clark | Ophthalmology | 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 | 2016-05-10 |
| 1104212661 | Coby Nielson Ray | Ophthalmology | 3601 4th St # Ms 7217, Lubbock, TX 79430-0002 | 2015-04-11 |
| 1194086561 | Donald Robert Lee May | Ophthalmology | 4611 9th St, Lubbock, TX 79416-4710 | 2012-06-01 |
| 1275796096 | Lingkun Kong | Ophthalmology | 3601 4th St Stop 7217, Lubbock, TX 79430-7217 | 2008-07-02 |
| 1558410266 | James J Boop, M.d.,p.a. | Ophthalmology | 2719 81st St, Lubbock, TX 79423-2229 | 2007-01-10 |
| 1336231265 | Charles E. Fisher Jr. | Ophthalmology | 4613 13th St, Lubbock, TX 79416-4823 | 2006-09-28 |
| 1295833614 | Frank M Ryburn IIi | Ophthalmology | 3420 23rd St, Lubbock, TX 79410-1322 | 2006-09-20 |
| 1205931136 | Billy Herbert Wilson | Ophthalmology | 4315 28th St, Suite 2, Lubbock, TX 79410 | 2006-09-14 |
| 1538262928 | John E Streit | Ophthalmology | 4014 22nd Pl, Ste 4, Lubbock, TX 79410 | 2006-09-07 |
| 1487763561 | James Jeffrey Boop | Ophthalmology | 3008 50th St, Suite F, Lubbock, TX 79413-4130 | 2006-08-30 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.