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EYECARE OF BOONVILLE, LLC
NPI 1669664280
Optometrist in Boonville, MO

Active since August 16, 2007
505 E WALNUT ST, BOONVILLE, MO 65233(660) 882-2444 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eyecare Of Boonville, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYECARE OF BOONVILLE, LLC (NPI 1669664280) is a healthcare organization registered as an optometrist in Boonville, Missouri and active in the NPI registry since August 2007. The organization lists Jeff D. Birdsong, Manager, as its authorized official.

NPPES Registry Identity

NPI1669664280
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYECARE OF BOONVILLE, LLC
Location Address505 E WALNUT STBoonville, MO 65233-1665
Mailing Address505 E Walnut StBoonville, MO 65233-1665 · (660) 882-2444
Phone(660) 882-2444
Organization SubpartNo
Authorized OfficialJeff D. BirdsongManager · (660) 882-2444
Enumeration DateAugust 16, 2007
Last NPPES UpdateSeptember 9, 2008
✔ NPI 1669664280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2004017361
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
505 E WALNUT ST, Boonville, MO 65233
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Other Identifiers 5

Medicare PINP00453606
Medicare UPINV02265
Other219840MO · Anthem Provider Id
Medicare NSC6097790001
Medicare PIN000015496

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eyecare Of Boonville, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eyecare Of Boonville, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffery Birdsong, O.D.
Optometry
NPI 1790777191
505 E WALNUT ST
Boonville, MO 65233
(660) 882-2444
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyecare Of Boonville, LLC's NPI number?

The NPI number for Eyecare Of Boonville, LLC is 1669664280. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is Eyecare Of Boonville, LLC located?

Eyecare Of Boonville, LLC is located at 505 E Walnut St, Boonville, MO 65233. The listed phone number is (660) 882-2444.

What is Eyecare Of Boonville, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eyecare Of Boonville, LLC enrolled in Medicare?

Yes. Eyecare Of Boonville, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyecare Of Boonville, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eyecare Of Boonville, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eyecare Of Boonville, LLC was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.