William David Boothe, M.D.

Ophthalmology in Lubbock, TX. Individual provider (NPI-1).

NPI number1205832425

StatusActive

Last updated in NPPESJan 22, 2020

Details

NPI: 1205832425
Entity type: Individual (NPI-1)
Name: William David Boothe
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 22, 2005
Certification date: Jan 22, 2020
Last updated: Jan 22, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OPHTHALMOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	F3769	TX	Yes

Practice location

12210 Quaker Ave
Ste 3
Lubbock, TX 79424-7942

Phone 806-792-5900 · Fax 806-792-6092

Mailing address

12210 Quaker Ave
Lubbock, TX 79424-1197

Phone 806-792-5900 · Fax 806-792-6092

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Other Ophthalmology Physician providers in Lubbock, TX

All 58 Ophthalmology Physician providers in Lubbock · All 7,272 providers in Lubbock

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